Basic Information
Provider Information
NPI: 1386805604
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ARORA
FirstName: SUKESHI
MiddleName: PATEL
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: PATEL
OtherFirstName: SUKESHI
OtherMiddleName: R
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: MD
OtherLastNameType: 1
Mailing Information
Address1: 7703 FLOYD CURL DR
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782293901
CountryCode: US
TelephoneNumber: 2104501143
FaxNumber:  
Practice Location
Address1: 7979 WURZBACH RD
Address2:  
City: SAN ANTONIO
State: TX
PostalCode: 782294427
CountryCode: US
TelephoneNumber: 2104501143
FaxNumber:  
Other Information
ProviderEnumerationDate: 06/19/2008
LastUpdateDate: 02/28/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XN9112TXN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RH0000XN9112TXN Allopathic & Osteopathic PhysiciansInternal MedicineHematology
207RH0003XN9112TXN Allopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
207RX0202XN9112TXY Allopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology

ID Information
IDTypeStateIssuerDescription
33553800201TXCSHCNOTHER
33553800105TX MEDICAID


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