Provider Demographics
NPI:1417017401
Name:DR. AMIT V. VORA
Entity Type:Organization
Organization Name:DR. AMIT V. VORA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:M.D.
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:V
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-773-0770
Mailing Address - Street 1:301 PINE ST NW
Mailing Address - Street 2:SUITE C
Mailing Address - City:HARTSELLE
Mailing Address - State:AL
Mailing Address - Zip Code:35640-2338
Mailing Address - Country:US
Mailing Address - Phone:256-773-0770
Mailing Address - Fax:256-773-2509
Practice Address - Street 1:301 PINE ST NW
Practice Address - Street 2:SUITE C
Practice Address - City:HARTSELLE
Practice Address - State:AL
Practice Address - Zip Code:35640-2338
Practice Address - Country:US
Practice Address - Phone:256-773-0770
Practice Address - Fax:256-773-2509
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-11
Last Update Date:2008-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000046493Medicaid
AL000046493Medicaid
ALC74270Medicare UPIN