Provider Demographics
NPI:1922217199
Name:VORA, SHOBHANA B (MD)
Entity Type:Individual
Prefix:DR
First Name:SHOBHANA
Middle Name:B
Last Name:VORA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9 PUDDINGSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:FLORHAM PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07932-2624
Mailing Address - Country:US
Mailing Address - Phone:973-822-1335
Mailing Address - Fax:973-822-0071
Practice Address - Street 1:EDNA MAHAN CORRECTIONAL FACILITY
Practice Address - Street 2:30 PITTSTOWN RD
Practice Address - City:CLINTON
Practice Address - State:NJ
Practice Address - Zip Code:08809
Practice Address - Country:US
Practice Address - Phone:908-735-7111
Practice Address - Fax:908-735-6379
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA027818002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry