Provider Demographics
NPI:1659321388
Name:VORA, SHARAD G (MD)
Entity Type:Individual
Prefix:
First Name:SHARAD
Middle Name:G
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 KEISLER DR
Mailing Address - Street 2:STE C
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-8801
Mailing Address - Country:US
Mailing Address - Phone:919-233-0234
Mailing Address - Fax:919-851-1901
Practice Address - Street 1:200 KEISLER DR
Practice Address - Street 2:STE C
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-8801
Practice Address - Country:US
Practice Address - Phone:919-233-0234
Practice Address - Fax:919-851-1901
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2014-11-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC95000262207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8985139Medicaid
NCF53456Medicare UPIN
NC8985139Medicaid