Provider Demographics
NPI:1568641322
Name:SORAJ ARORA, D.O., P.C.
Entity type:Organization
Organization Name:SORAJ ARORA, D.O., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SORAJ
Authorized Official - Middle Name:
Authorized Official - Last Name:ARORA
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:219-513-0033
Mailing Address - Street 1:9305 CALUMET AVE STE D2
Mailing Address - Street 2:
Mailing Address - City:MUNSTER
Mailing Address - State:IN
Mailing Address - Zip Code:46321-2888
Mailing Address - Country:US
Mailing Address - Phone:219-513-0033
Mailing Address - Fax:219-513-0044
Practice Address - Street 1:9305 CALUMET AVE STE D2
Practice Address - Street 2:
Practice Address - City:MUNSTER
Practice Address - State:IN
Practice Address - Zip Code:46321-2888
Practice Address - Country:US
Practice Address - Phone:219-513-0033
Practice Address - Fax:219-513-0044
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-29
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN02002795207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
90001266OtherBCBS
IN353722165Medicaid
IN000000381655OtherANTHEM BCBS
IN=========OtherCIGNA
90001266OtherBCBS