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
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