Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2081P2900X | Pain Medicine | 46656 | MN |
NPI | 1255301743 |
---|---|
Provider Name | Sanjeev Arora |
First Address | Roseville, MN 55113-7115 |
Second Address | Roseville, MN 55113-7115 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/01/2006 |
Last Update Date | 24/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
837968800 | (05) | MN |
I13087 | (02) | MN |