Mehboob I Vora Do Llc | |
1755 E 61st St N Park City KS 67219-1917 | |
(316) 744-7405 | |
(316) 744-7756 |
Full Name | Mehboob I Vora Do Llc |
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Speciality | Family Medicine |
Location | 1755 E 61st St N, Park City, Kansas |
Authorized Official Name and Position | Mehboob I Vora (OWNER) |
Authorized Official Contact | 3167447405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mehboob I Vora Do Llc 1755 E 61st St N Park City KS 67219-1917 Ph: (316) 744-7405 | Mehboob I Vora Do Llc 1755 E 61st St N Park City KS 67219-1917 Ph: (316) 744-7405 |
NPI Number | 1710944145 |
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Provider Enumeration Date | 04/28/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1710944145 | NPI | - | NPPES |
110871 | Other | KS | BCBS GROUP NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 05-25872 (Kansas) | Primary |