Provider Demographics
NPI:1497866024
Name:VOHRA, MANJIT (MD)
Entity Type:Individual
Prefix:DR
First Name:MANJIT
Middle Name:
Last Name:VOHRA
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 1:200 AVENUE F NE
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4131
Mailing Address - Country:US
Mailing Address - Phone:727-519-1839
Mailing Address - Fax:727-519-1830
Practice Address - Street 1:200 AVENUE F NE
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4131
Practice Address - Country:US
Practice Address - Phone:727-519-1839
Practice Address - Fax:727-519-1830
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2017-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2499082084P0800X
VA01012360522084P0800X
FLME1311722084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010306639Medicaid
NY03540136Medicaid
VAP00361881OtherMEDICARE RAILROAD
011921L84Medicare PIN
VAP00361881OtherMEDICARE RAILROAD