Provider Demographics
NPI:1386635241
Name:VORA, GITA K (MD)
Entity Type:Individual
Prefix:DR
First Name:GITA
Middle Name:K
Last Name:VORA
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Gender:F
Credentials:MD
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Mailing Address - Street 1:1455 S LAPEER RD
Mailing Address - Street 2:SUITE 122
Mailing Address - City:LAKE ORION
Mailing Address - State:MI
Mailing Address - Zip Code:48360-1467
Mailing Address - Country:US
Mailing Address - Phone:248-627-2881
Mailing Address - Fax:248-232-9908
Practice Address - Street 1:1455 S LAPEER RD
Practice Address - Street 2:SUITE 122
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1467
Practice Address - Country:US
Practice Address - Phone:248-627-2881
Practice Address - Fax:248-232-9908
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MI4301031637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1346656Medicaid
MI1346656Medicaid
E25946Medicare UPIN