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Individual

DR. MOHMED IMRAN GORA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2735 SILVER CREEK RD, BULLHEAD CITY, AZ 86442-7924
(928) 763-2273
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
(800) 893-9698

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
57755
AZ
208M00000X
Hospitalist Physician
57755
AZ

Other

Enumeration date
07/18/2016
Last updated
10/21/2021
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