Provider Demographics
NPI:1912282799
Name:VHORA, MOHAMAD HANIF (PHARMD)
Entity Type:Individual
Prefix:MR
First Name:MOHAMAD
Middle Name:HANIF
Last Name:VHORA
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14700 HALSTED ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:IL
Mailing Address - Zip Code:60426-1921
Mailing Address - Country:US
Mailing Address - Phone:708-333-3572
Mailing Address - Fax:708-333-5652
Practice Address - Street 1:14700 HALSTED ST
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:IL
Practice Address - Zip Code:60426-1921
Practice Address - Country:US
Practice Address - Phone:708-333-3572
Practice Address - Fax:708-333-5652
Is Sole Proprietor?:No
Enumeration Date:2011-10-12
Last Update Date:2011-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL051292403183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist