Basic Information
Provider Information
NPI: 1851688410
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: SAMEER
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MBBS
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2920 HIGHWOODS BLVD
Address2:  
City: RALEIGH
State: NC
PostalCode: 276040010
CountryCode: US
TelephoneNumber: 8774984490
FaxNumber:  
Practice Location
Address1: 3000 NEW BERN AVE
Address2:  
City: RALEIGH
State: NC
PostalCode: 276101231
CountryCode: US
TelephoneNumber: 9193508000
FaxNumber: 9193507204
Other Information
ProviderEnumerationDate: 07/05/2011
LastUpdateDate: 02/08/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 02/08/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X005061GAY Allopathic & Osteopathic PhysiciansInternal Medicine 

ID Information
IDTypeStateIssuerDescription
185168841005NC MEDICAID


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