Healthcare Provider Details

I. General information

NPI: 1841599339
Provider Name (Legal Business Name): VOHRA WOUND PHYSICIANS OF CA, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/23/2011
Last Update Date: 10/12/2021
Certification Date: 10/12/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

828 SAN PABLO AVE STE 111
ALBANY CA
94706-1678
US

IV. Provider business mailing address

3601 SW 160TH AVE SUITE #250
MIRAMAR FL
33027-6308
US

V. Phone/Fax

Practice location:
  • Phone: 877-866-7123
  • Fax:
Mailing address:
  • Phone: 305-866-9951
  • Fax: 877-284-8933

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. SHARK M BIRD
Title or Position: PRESIDENT
Credential: M.D.
Phone: 877-866-7123