Basic Information
Provider Information
NPI: 1336326396
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: SONA
MiddleName: SHAH
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: SHAH
OtherFirstName: SONA
OtherMiddleName: SATISH
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 1364 CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221059
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 1364 CLIFTON RD NE
Address2:  
City: ATLANTA
State: GA
PostalCode: 303221064
CountryCode: US
TelephoneNumber: 8007115444
FaxNumber: 4047785405
Other Information
ProviderEnumerationDate: 01/22/2008
LastUpdateDate: 10/05/2010
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X644989GAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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