Individual
SETU K VORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12 CASE ST STE 204, NORWICH, CT 06360
(860) 319-0470
(860) 319-0398
Mailing address
12 HARVEST GLN, EAST LYME, CT 06333-1556
(860) 319-0470
(860) 319-0398
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
42770
CT
207RP1001X
Pulmonary Disease Physician
042770
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001427708
MEDICAID OF CONNECTICUT
—
05
—
001427708
—
CT
01
—
010042770CT01
BLUE SHIELD OF CONNECTICU
—
01
—
042770
CONNECTICARE
—
01
—
290000408
MEDICARE OF CONNECTICUT
—
Enumeration date
10/03/2005
Last updated
01/18/2019
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