Provider Demographics
NPI:1336112945
Name:VAHORA, PARVEEN SULTANA (MD)
Entity Type:Individual
Prefix:
First Name:PARVEEN
Middle Name:SULTANA
Last Name:VAHORA
Suffix:
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 1:9332 STATE ROAD 54 STE 403
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-1810
Mailing Address - Country:US
Mailing Address - Phone:727-376-1536
Mailing Address - Fax:727-376-1539
Practice Address - Street 1:9332 STATE ROAD 54
Practice Address - Street 2:SUITE 403
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34655
Practice Address - Country:US
Practice Address - Phone:727-376-1536
Practice Address - Fax:727-376-1539
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-13
Last Update Date:2021-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME91283174400000X, 207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecologyGroup - Single Specialty
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLOD085OtherFL HF MEDICARE
48982ZMedicare ID - Type Unspecified