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Organization
MEHBOOB I VORA DO LLC
Active
Organization
MEHBOOB I VORA DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEHBOOB I VORA DO (OWNER)
(316) 744-7405
Entity
Organization
Contact information
Practice address
1755 E 61ST ST N, PARK CITY, KS 67219-1917
(316) 744-7405
(316) 744-7756
Mailing address
1755 E 61ST ST N, PARK CITY, KS 67219-1917
(316) 744-7405
(316) 744-7756
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-25872
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110871
BCBS GROUP NUMBER
KS
Enumeration date
04/28/2006
Last updated
08/22/2020
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