Organization
SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC
Active
Organization
SOUTHERN PHYSICAL MEDICINE AND REHABILITATION ASSOCIATES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAHUL VOHRA MD (MANAGING PARTNER)
(601) 420-1930
Entity
Organization
Contact information
Practice address
1020 RIVER OAKS DRIVE, STE 450, JACKSON, MS 39232
(601) 420-1930
(601) 420-1931
Mailing address
1020 RIVER OAKS DRIVE, STE 450, JACKSON, MS 39232
(601) 420-1930
(601) 420-1931
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09015681
—
MS
01
—
CH8503
RAILROAD MEDICARE
MS
Enumeration date
10/03/2006
Last updated
12/13/2007
Update your record
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