Mehboob I Vora DO LLC

Organization Active NPI Family Medicine Physician · Park City, KS

NPI 1710944145 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1710944145
Entity type
Organization (NPI type 2)
Primary specialty
Family Medicine Physician 207Q00000X
License
05-25872 (KS)
Legal business name
MEHBOOB I VORA DO LLC
Practice address
1755 E 61St St N
Park City, KS 67219-1917
Phone
(316) 744-7405
Fax
(316) 744-7756
NPI assigned
Apr 28, 2006
Organization subpart
No

Authorized official

Name
Dr. Mehboob I Vora, DO
Title
Owner
Phone
(316) 744-7405

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207Q00000X 05-25872 KS Yes

Addresses

Primary practice location

1755 E 61St St N
Park City, KS 67219-1917

Mailing address

1755 E 61St St N
Park City, KS 67219-1917
Phone (316) 744-7405

Other identifiers

IdentifierTypeStateIssuer
110871OtherKSBCBS GROUP NUMBER

Other providers in Park City, KS

All providers in Park City, KS · Family Medicine Physician in Kansas

Sources for this page

Verify at the official NPI Registry.