Basic Information
Provider Information
NPI: 1871656553
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VOORA
FirstName: RAVEN
MiddleName: ABHILASHA
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7024 BURNETT WOMACK BUILDING
Address2: CB #7155
City: CHAPEL HILL
State: NC
PostalCode: 275990001
CountryCode: US
TelephoneNumber: 7039662561
FaxNumber:  
Practice Location
Address1: 1301 CENTRAL DR
Address2:  
City: SANFORD
State: NC
PostalCode: 273304159
CountryCode: US
TelephoneNumber: 9197189512
FaxNumber: 9197189516
Other Information
ProviderEnumerationDate: 12/18/2006
LastUpdateDate: 06/03/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 06/03/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XMT186348PAN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207RN0300X2011-00249NCY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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