Provider Demographics
NPI:1649261108
Name:VORA, KIRIT K (MD)
Entity type:Individual
Prefix:DR
First Name:KIRIT
Middle Name:K
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:20952 E 12 MILE RD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:SAINT CLAIR SHORES
Mailing Address - State:MI
Mailing Address - Zip Code:48081-3200
Mailing Address - Country:US
Mailing Address - Phone:586-771-4820
Mailing Address - Fax:586-771-6620
Practice Address - Street 1:44344 DEQUINDRE RD
Practice Address - Street 2:SUITE 210
Practice Address - City:STERLING HEIGHTS
Practice Address - State:MI
Practice Address - Zip Code:48314-1038
Practice Address - Country:US
Practice Address - Phone:586-323-4200
Practice Address - Fax:586-843-3940
Is Sole Proprietor?:No
Enumeration Date:2005-11-03
Last Update Date:2010-11-01
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Provider Licenses
StateLicense IDTaxonomies
MI4301031638208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MICB9133OtherRAILROAD MEDICARE
MI0E06273OtherBCBSM
MI0E06273OtherBCBSM
MI0E06273Medicare Oscar/Certification
MI0219690001Medicare NSC