MEDICARE: DR. AMIT V VORA 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	207R00000X	Internal Medicine Physician	00007819	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	510 46493	OTHER	AL	BC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336121458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AMIT V VORA MD

Provider Business Mailing Address
First Line	:	301 PINE ST NW
Second Line	:	STE C
City	:	HARTSELLE
State	:	AL
Zip	:	35640-2338
Country	:	US
Telephone Number	:	256-773-0770
Fax Number	:	256-773-2509

Provider Business Practice Location Address
First Line	:	301 PINE ST NW
Second Line	:	STE C
City	:	HARTSELLE
State	:	AL
Zip	:	35640-2338
Country	:	US
Telephone Number	:	256-773-0770
Fax Number	:	256-773-2509

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

Provider Enumeration Date	:	11/15/2005
Last Update Date	:	04/01/2013

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