Provider Demographics
NPI:1174601108
Name:ARORA, JODH SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:JODH
Middle Name:SINGH
Last Name:ARORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 HOLIDAY POND RD
Mailing Address - Street 2:
Mailing Address - City:JERICHO
Mailing Address - State:NY
Mailing Address - Zip Code:11753-1156
Mailing Address - Country:US
Mailing Address - Phone:516-605-0847
Mailing Address - Fax:718-961-3652
Practice Address - Street 1:5801 MAIN ST
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-5333
Practice Address - Country:US
Practice Address - Phone:718-961-8001
Practice Address - Fax:718-961-3652
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-01
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY109798207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYB88820Medicare UPIN