Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101242996 | VA |
NPI | 1235158189 |
---|---|
Provider Name | Mr. Balvant Parashram Arora |
First Address | Fredericksburg, VA 22401-4467 |
Second Address | Fredericksburg, VA 22401-4467 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/07/2006 |
Last Update Date | 09/03/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H41327 | (02) |