Basic Information
| Provider Information | |||||||||
| NPI: | 1033401765 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ARORA | ||||||||
| FirstName: | VIKRAM | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4601 PARK RD STE 300 | ||||||||
| Address2: | |||||||||
| City: | CHARLOTTE | ||||||||
| State: | NC | ||||||||
| PostalCode: | 282092290 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7043232248 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 180 KIMEL PARK DR | ||||||||
| Address2: | |||||||||
| City: | WINSTON SALEM | ||||||||
| State: | NC | ||||||||
| PostalCode: | 271036976 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3366593700 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/13/2011 | ||||||||
| LastUpdateDate: | 09/08/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 09/08/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208100000X | OS016932 | PA | N | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation | 208100000X | 2021-02050 | NC | Y | Allopathic & Osteopathic Physicians | Physical Medicine & Rehabilitation |
ID Information
| ID | Type | State | Issuer | Description | 00331115 | 01 | PA | BLUE SHIELD/FPLIC/TRADITIONAL/PREMIER BLUE/MEDICARE ADVANTAGE | OTHER | 103032216 | 05 | PA | MEDICAID | 1033401765 | 01 | PA | UHC MEDICARE/COMMERCIAL PLANS | OTHER | 30225562 | 01 | PA | AMERIHEALTH CARITAS | OTHER | 5340969 | 01 | PA | AETNA | OTHER | 25-1645055 | 01 | PA | HUMANA/CHOICE CARE | OTHER | 5220727 | 01 | PA | CIGNA | OTHER | 834988 | 01 | PA | FPH | OTHER | 005848405001 | 01 | PA | UHC COMMUNITY | OTHER | 1033401765 | 01 | PA | GEISINGER HEALTH PLAN | OTHER | 50134320 | 01 | PA | CAPITAL BLUE CROSS | OTHER |