Active NPI
Sandip Vora, CSA
- Surgical Technologist
- Roselle, IL
National Provider Identifier
1871637074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Technologist
- License
- 238.000035
- Practice address
- 715 Washigton CT
Roselle, IL 60172 - Phone
- (630) 307-3636
- NPI assigned
- Feb 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Technologist | 246ZS0410X | 238.000035 | IL | Primary |
Addresses
Primary practice location
715 Washigton CT
Roselle, IL 60172
Mailing address
715 Washigton CT
Roselle, IL 60172
Phone (630) 307-3636
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 238.000035 | IL | MD | Surgical Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1402444800000",
"number": "1871637074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "715 WASHIGTON CT",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "630-307-3636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 WASHIGTON CT",
"city": "ROSELLE",
"state": "IL",
"postal_code": "60172",
"telephone_number": "630-307-3636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VORA",
"first_name": "SANDIP",
"credential": "CSA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-19",
"last_updated": "2014-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "246ZS0410X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Technologist",
"state": "IL",
"license": "238.000035",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Roselle, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.