Provider Demographics
NPI:1417909888
Name:OHRI, TARUN K (MD)
Entity Type:Individual
Prefix:
First Name:TARUN
Middle Name:K
Last Name:OHRI
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 1:161 BROOKLYN ST
Mailing Address - Street 2:
Mailing Address - City:WARSAW
Mailing Address - State:NY
Mailing Address - Zip Code:14569-1413
Mailing Address - Country:US
Mailing Address - Phone:585-786-2005
Mailing Address - Fax:
Practice Address - Street 1:165 BROOKLYN ST
Practice Address - Street 2:
Practice Address - City:WARSAW
Practice Address - State:NY
Practice Address - Zip Code:14569-1413
Practice Address - Country:US
Practice Address - Phone:585-786-3106
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-16
Last Update Date:2010-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY138960207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY4334368OtherAETNA EPO
NYP010138960OtherROCHESTER BLUE SHEILD
NY00730465Medicaid
NY000508653001OtherBC/BS OF WNY
NY00730465Medicaid
NY000508653001OtherBC/BS OF WNY