Basic Information
Provider Information | |||||||||
NPI: | 1932369725 | ||||||||
EntityType: | 1 | ||||||||
ReplacementNPI: |   | ||||||||
OrganizationName: |   | ||||||||
LastName: | ARORA | ||||||||
FirstName: | HARMAN | ||||||||
MiddleName: | K | ||||||||
NamePrefix: |   | ||||||||
NameSuffix: |   | ||||||||
Credential: | MD | ||||||||
OtherOrganizationName: |   | ||||||||
OtherOrganizationType: |   | ||||||||
OtherLastName: |   | ||||||||
OtherFirstName: |   | ||||||||
OtherMiddleName: |   | ||||||||
OtherNamePrefix: |   | ||||||||
OtherNameSuffix: |   | ||||||||
OtherCredential: |   | ||||||||
OtherLastNameType: |   | ||||||||
Mailing Information | |||||||||
Address1: | 1190 WAIANUENUE AVE | ||||||||
Address2: |   | ||||||||
City: | HILO | ||||||||
State: | HI | ||||||||
PostalCode: | 967202089 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: |   | ||||||||
FaxNumber: | 8886258226 | ||||||||
Practice Location | |||||||||
Address1: | 1190 WAIANUENUE AVE | ||||||||
Address2: |   | ||||||||
City: | HILO | ||||||||
State: | HI | ||||||||
PostalCode: | 967202089 | ||||||||
CountryCode: | US | ||||||||
TelephoneNumber: | 8089323000 | ||||||||
FaxNumber: | 8886258226 | ||||||||
Other Information | |||||||||
ProviderEnumerationDate: | 06/15/2008 | ||||||||
LastUpdateDate: | 01/21/2016 | ||||||||
NPIDeactivationReasonCode: |   | ||||||||
NPIDeactivationDate: |   | ||||||||
NPIReactivationDate: |   | ||||||||
ProviderGenderCode: | F | ||||||||
AuthorizedOfficialLastName: |   | ||||||||
AuthorizedOfficialFirstName: |   | ||||||||
AuthorizedOfficialMiddleName: |   | ||||||||
AuthorizedOfficialTitleorPosition: |   | ||||||||
AuthorizedOfficialTelephone: |   | ||||||||
IsSoleProprietor: | Y | ||||||||
IsOrganizationSubpart: |   | ||||||||
ParentOrganizationLBN: |   | ||||||||
AuthorizedOfficialNamePrefix: |   | ||||||||
AuthorizedOfficialNameSuffix: |   | ||||||||
AuthorizedOfficialCredential: |   | ||||||||
NPICertificationDate: |   |
Taxonomy Information
Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207P00000X | MD12755 | RI | N |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   | 207P00000X | 247040 | NY | N |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   | 207P00000X | MD-17960 | HI | Y |   | Allopathic & Osteopathic Physicians | Emergency Medicine |   |
ID Information
ID | Type | State | Issuer | Description | 03242009 | 01 | RI | BCBSRI | OTHER | 12/28/2008 | 01 | MA | TUFTS HEALTH PLAN | OTHER | 007060803 | 01 | RI | MEDICARE | OTHER | 04/14/2009 | 01 | RI | UNITED HEALTHCARE | OTHER | 939025129 | 01 | RI | UEMF GROUP RI MEDICARE | OTHER | HA73108 | 05 | RI |   | MEDICAID | P00671201 | 01 | RI | RR MEDICARE | OTHER | 01082009 | 01 | RI | NHPRI | OTHER | 21626356 | 05 | MA |   | MEDICAID |