MEDICARE: PARVEEN SULTANA VAHORA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	ME91283	FL
2	207VG0400X	Gynecology Physician	ME91283	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	OD085	OTHER	FL	FL HF MEDICARE

General Provider Information

NPI Number	:	1336112945
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PARVEEN SULTANA VAHORA MD

Provider Business Mailing Address
First Line	:	9332 STATE ROAD 54 STE 403
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	727-376-1536
Fax Number	:	727-376-1539

Provider Business Practice Location Address
First Line	:	9332 STATE ROAD 54
Second Line	:	SUITE 403
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655
Country	:	US
Telephone Number	:	727-376-1536
Fax Number	:	727-376-1539

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2006
Last Update Date	:	09/21/2021

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