| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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 |