Basic Information
Provider Information
NPI: 1124657754
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: ENA
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8268 164TH ST
Address2: DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, ROOM 2B-21
City: JAMAICA, QUEENS
State: NY
PostalCode: 114321121
CountryCode: US
TelephoneNumber: 7188834037
FaxNumber: 7188836129
Practice Location
Address1: 8268 164TH ST
Address2: DEPARTMENT OF OBSTETRICS AND GYNECOLOGY, ROOM 2B-21
City: JAMAICA
State: NY
PostalCode: 114321121
CountryCode: US
TelephoneNumber: 7188834037
FaxNumber: 7188836129
Other Information
ProviderEnumerationDate: 04/06/2020
LastUpdateDate: 04/06/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/06/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
390200000X  Y Student, Health CareStudent in an Organized Health Care Education/Training Program 

No ID Information.


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