Basic Information
| Provider Information | |||||||||
| NPI: | 1336112945 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | VAHORA | ||||||||
| FirstName: | PARVEEN | ||||||||
| MiddleName: | SULTANA | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9332 STATE ROAD 54 STE 403 | ||||||||
| Address2: | |||||||||
| City: | NEW PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 346551810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273761536 | ||||||||
| FaxNumber: | 7273761539 | ||||||||
| Practice Location | |||||||||
| Address1: | 9332 STATE ROAD 54 | ||||||||
| Address2: | SUITE 403 | ||||||||
| City: | NEW PORT RICHEY | ||||||||
| State: | FL | ||||||||
| PostalCode: | 34655 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7273761536 | ||||||||
| FaxNumber: | 7273761539 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 02/13/2006 | ||||||||
| LastUpdateDate: | 09/21/2021 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/21/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 174400000X | ME91283 | FL | N | Other Service Providers | Specialist | 207VG0400X | ME91283 | FL | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology | Gynecology |
ID Information
| ID | Type | State | Issuer | Description | OD085 | 01 | FL | FL HF MEDICARE | OTHER |