Basic Information
| Provider Information | |||||||||
| NPI: | 1013085505 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARORA | ||||||||
| FirstName: | RAKESH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 14300 GALLANT FOX LN | ||||||||
| Address2: | SUITE 222 | ||||||||
| City: | BOWIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207154003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012627800 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 14300 GALLANT FOX LN | ||||||||
| Address2: | SUITE 222 | ||||||||
| City: | BOWIE | ||||||||
| State: | MD | ||||||||
| PostalCode: | 207154003 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3012627800 | ||||||||
| FaxNumber: | 3018050782 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/01/2006 | ||||||||
| LastUpdateDate: | 10/09/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | D20108 | MD | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 8039 | 01 | DC | BLUE CROSS OF DC | OTHER | 000M14R88 | 01 | DC | MEDICARE | OTHER | 090M973E | 01 | MD | MEDICARE | OTHER | 186531500 | 05 | MD | MEDICAID | 5212094153001 | 01 | MD | TAX ID | OTHER | 1248RA | 01 | MD | BLUE CROSS OF MARYLAND | OTHER |