Organization
C4, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAULIN UPENDRA VORA MD (PRESIDENT)
(402) 517-2446
Entity
Organization
Contact information
Practice address
4623 THOMAS LAKE HARRIS DR UNIT 311, SANTA ROSA, CA 95403-0195
(402) 517-2446
Mailing address
4623 THOMAS LAKE HARRIS DR UNIT 311, SANTA ROSA, CA 95403-0195
(402) 517-2446
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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