Provider Demographics
NPI:1235152406
Name:VOORA, BHARATHI S I (MD)
Entity Type:Individual
Prefix:
First Name:BHARATHI
Middle Name:S
Last Name:VOORA
Suffix:I
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2005 W 8TH ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16505-4759
Mailing Address - Country:US
Mailing Address - Phone:814-456-7731
Mailing Address - Fax:814-456-7904
Practice Address - Street 1:2005 W 8TH ST
Practice Address - Street 2:SUITE 200
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16505-4759
Practice Address - Country:US
Practice Address - Phone:814-456-7791
Practice Address - Fax:814-456-7904
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD030389E207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0009957740004Medicaid
PA021818Medicare ID - Type Unspecified
PAB33445Medicare UPIN