MEDICARE: DR. KIRIT K 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	208800000X	Urology Physician	4301031638	MI

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CB9133	OTHER	MI	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	0E06273	OTHER	MI	BCBSM

General Provider Information

NPI Number	:	1649261108
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KIRIT K VORA MD

Provider Business Mailing Address
First Line	:	20952 E 12 MILE RD
Second Line	:	SUITE 200
City	:	SAINT CLAIR SHORES
State	:	MI
Zip	:	48081-3200
Country	:	US
Telephone Number	:	586-771-4820
Fax Number	:	586-771-6620

Provider Business Practice Location Address
First Line	:	44344 DEQUINDRE RD
Second Line	:	SUITE 210
City	:	STERLING HEIGHTS
State	:	MI
Zip	:	48314-1038
Country	:	US
Telephone Number	:	586-323-4200
Fax Number	:	586-843-3940

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

Provider Enumeration Date	:	11/03/2005
Last Update Date	:	11/01/2010

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Directions to “ DR. KIRIT K VORA MD” Practice Location

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