Provider Demographics
NPI:1831271220
Name:TROY UROLOGY LAKE ORION LLC
Entity type:Organization
Organization Name:TROY UROLOGY LAKE ORION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KIRIT
Authorized Official - Middle Name:
Authorized Official - Last Name:VORA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:248-879-5700
Mailing Address - Street 1:44199 DEQUINDRE RD
Mailing Address - Street 2:SUITE 202
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48085-1128
Mailing Address - Country:US
Mailing Address - Phone:248-232-9900
Mailing Address - Fax:248-232-9908
Practice Address - Street 1:1455 S LAPEER RD
Practice Address - Street 2:SUITE 122
Practice Address - City:LAKE ORION
Practice Address - State:MI
Practice Address - Zip Code:48360-1467
Practice Address - Country:US
Practice Address - Phone:248-232-9900
Practice Address - Fax:248-232-9908
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-19
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical