Provider Demographics
NPI:1457367898
Name:VORA, RAJU N (MD)
Entity Type:Individual
Prefix:MR
First Name:RAJU
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 1:80 HOSPITAL DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BARBOURVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40906-7363
Mailing Address - Country:US
Mailing Address - Phone:606-545-4460
Mailing Address - Fax:606-545-4469
Practice Address - Street 1:80 HOSPITAL DR STE 2
Practice Address - Street 2:
Practice Address - City:BARBOURVILLE
Practice Address - State:KY
Practice Address - Zip Code:40906-7363
Practice Address - Country:US
Practice Address - Phone:606-545-4460
Practice Address - Fax:606-545-4469
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY19459207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY000000062583OtherBCBS
KY64194590Medicaid
KY1457367898OtherINDIVIDUAL NPI
KY1457367898OtherINDIVIDUAL NPI
C69518Medicare UPIN