Provider Demographics
NPI:1740410968
Name:VORA, MEHUL R (MD)
Entity Type:Individual
Prefix:DR
First Name:MEHUL
Middle Name:R
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14544 JOHN HUMPHREY DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60462-2640
Mailing Address - Country:US
Mailing Address - Phone:708-460-7990
Mailing Address - Fax:708-460-7917
Practice Address - Street 1:14544 JOHN HUMPHREY DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60462-2640
Practice Address - Country:US
Practice Address - Phone:708-460-7990
Practice Address - Fax:708-460-7917
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01068875A207RE0101X
IL036127949207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036127949OtherIL MEDICAID LICENSE