Provider Demographics
NPI:1932144599
Name:VORA, RATHIN N (MD)
Entity Type:Individual
Prefix:
First Name:RATHIN
Middle Name:N
Last Name:VORA
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:PO BOX 6001
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58108-6001
Mailing Address - Country:US
Mailing Address - Phone:701-364-5751
Mailing Address - Fax:701-364-5750
Practice Address - Street 1:1401 13TH AVE E
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3468
Practice Address - Country:US
Practice Address - Phone:701-364-5751
Practice Address - Fax:701-364-5750
Is Sole Proprietor?:No
Enumeration Date:2006-06-18
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NDPT101822083X0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ND00051038OtherLHS #
ND0123298OtherMEDICA #
ND0123299OtherMEDICA #
NDDA9011046751OtherPREFERRED ONE #
NDHP61514OtherHEALTHPARTNERS #
ND076H0VOOtherNDBS #
ND0123361OtherMEDICA #
ND076H1VOOtherMNBS #
ND662418900Medicaid
NDDA9011046751OtherPREFERRED ONE #