Provider Demographics
NPI:1750794087
Name:VORA, ADITYA (DO)
Entity type:Individual
Prefix:DR
First Name:ADITYA
Middle Name:
Last Name:VORA
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4611 S UNIVERSITY DR # 246
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33328-3817
Mailing Address - Country:US
Mailing Address - Phone:954-603-4081
Mailing Address - Fax:213-205-7468
Practice Address - Street 1:4611 S UNIVERSITY DR # 246
Practice Address - Street 2:
Practice Address - City:DAVIE
Practice Address - State:FL
Practice Address - Zip Code:33328-3817
Practice Address - Country:US
Practice Address - Phone:954-603-4081
Practice Address - Fax:213-205-7468
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-04
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL0361663322084P0800X
FLOS144452084P0800X
FLU03897390200000X
IN02006511A2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program