Basic Information
| Provider Information | |||||||||
| NPI: | 1023186459 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | RAKESH ARORA M.D. F.A.A. F.P.,P.A. | ||||||||
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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: | 3018050782 | ||||||||
| 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: | 12/02/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | ARORA | ||||||||
| AuthorizedOfficialFirstName: | RAKESH | ||||||||
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| AuthorizedOfficialTitleorPosition: | M.D. | ||||||||
| AuthorizedOfficialTelephone: | 3012627800 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 1248R | 01 | MD | BCBS OF MARYLAND | OTHER | 8039 | 01 | DC | BCBS OF DC | OTHER |