Basic Information
Provider Information
NPI: 1336456672
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: NATASHA
MiddleName: P
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 500 LILLY RD NE STE 100
Address2: PROVIDENCE CARDIOLOGY ASSOCIATES
City: OLYMPIA
State: WA
PostalCode: 985065195
CountryCode: US
TelephoneNumber: 3604138525
FaxNumber: 3604866731
Practice Location
Address1: 500 LILLY RD NE STE 100
Address2: PROVIDENCE CARDIOLOGY ASSOCIATES
City: OLYMPIA
State: WA
PostalCode: 985065195
CountryCode: US
TelephoneNumber: 3604138525
FaxNumber: 3604866731
Other Information
ProviderEnumerationDate: 09/08/2010
LastUpdateDate: 04/05/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 04/05/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD60690556WAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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