Individual
DR. VAIBHAV BORA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
1120 15TH ST, AUGUSTA UNIVERSITY, AUGUSTA, GA 30912-0004
(706) 721-3871
Mailing address
10001 CHESTER AVE, APT 429, CLEVELAND, OH 44106-1617
(585) 319-9912
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
075143
GA
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
075143
GA
Other
Enumeration date
07/09/2010
Last updated
06/09/2016
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