Healthcare Provider Details

I. General information

NPI: 1245351493
Provider Name (Legal Business Name): HEMANT HORA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 04/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

128 ENDEAN DR
EAST WALPOLE MA
02032-1063
US

IV. Provider business mailing address

128 ENDEAN DR
EAST WALPOLE MA
02032-1063
US

V. Phone/Fax

Practice location:
  • Phone: 508-734-0187
  • Fax:
Mailing address:
  • Phone: 508-734-0187
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number231246
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: