MEDICARE: DR. NILESH LALIT VORA M.D.

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	A94183	CA
2	207RH0003X	Hematology & Oncology Physician	A94183	CA

General Provider Information

NPI Number	:	1790976363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NILESH LALIT VORA M.D.

Provider Business Mailing Address
First Line	:	2810 LONG BEACH BLVD FL 2
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1558
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2810 LONG BEACH BLVD FL 2
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90806-1558
Country	:	US
Telephone Number	:	562-933-1877
Fax Number	:

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

Provider Enumeration Date	:	08/07/2007
Last Update Date	:	01/31/2017

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