Fahim Vohra, PHD
Individual provider Active NPI Prosthodontics · Mineapolis, MN
NPI 1124709928 · NPPES record last updated Jul 26, 2023
Key facts
- NPI
- 1124709928
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Prosthodontics 1223P0700X
- License
- FL66 (MN)
- Practice address
- 515 Delaware St SE,
School of Dentistry
Mineapolis, MN 55455 - Phone
- (612) 986-1774
- NPI assigned
- Jul 26, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| FL66 | MN | MD | Prosthodontist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthodontics | 1223P0700X | FL66 | MN | Yes |
Addresses
Primary practice location
515 Delaware St SE,
School of Dentistry
Mineapolis, MN 55455
Mailing address
17795 32ND PL N
Plymouth, MN 55447-1692
Phone (612) 986-1774
Other providers in Mineapolis, MN
All providers in Mineapolis, MN · Prosthodontics in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.