Provider Demographics
NPI:1043426851
Name:VORA, SUDHIR RAJU (MD)
Entity Type:Individual
Prefix:DR
First Name:SUDHIR
Middle Name:RAJU
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 HAMILTON ST
Mailing Address - Street 2:UNIT #609
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-3889
Mailing Address - Country:US
Mailing Address - Phone:617-970-7551
Mailing Address - Fax:
Practice Address - Street 1:1900 HAMILTON ST
Practice Address - Street 2:UNIT #609
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19130-3889
Practice Address - Country:US
Practice Address - Phone:617-970-7551
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2021-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT1826402085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology