Provider Demographics
NPI:1104323641
Name:ARORA, DINESH KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:DINESH
Middle Name:KUMAR
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 1:4702 WILD SENNA BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-7085
Mailing Address - Country:US
Mailing Address - Phone:470-443-4219
Mailing Address - Fax:
Practice Address - Street 1:1255 STATE ROAD 60 E STE 400
Practice Address - Street 2:
Practice Address - City:LAKE WALES
Practice Address - State:FL
Practice Address - Zip Code:33853-4310
Practice Address - Country:US
Practice Address - Phone:844-634-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-11
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME162428208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery