Provider Demographics
NPI:1689867566
Name:SANJAY VOHRA MD LTD
Entity type:Organization
Organization Name:SANJAY VOHRA MD LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:
Authorized Official - Last Name:VOHRA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-564-9898
Mailing Address - Street 1:PO BOX 91299
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89009-1299
Mailing Address - Country:US
Mailing Address - Phone:702-564-9898
Mailing Address - Fax:702-564-9850
Practice Address - Street 1:8965 S PECOS RD
Practice Address - Street 2:SUITE 12A
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-7158
Practice Address - Country:US
Practice Address - Phone:702-564-9898
Practice Address - Fax:702-564-9850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-23
Last Update Date:2013-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV6086207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV002019698Medicaid
NVV35871Medicare PIN
NV002019698Medicaid