Healthcare Provider Details
I. General information
NPI: 1598785412
Provider Name (Legal Business Name): YOGESH VOHRA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 07/21/2006
Last Update Date: 04/24/2024
Certification Date: 04/24/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
914A EASTERN SHORE DR
SALISBURY MD
21804-6410
US
IV. Provider business mailing address
914A EASTERN SHORE DR
SALISBURY MD
21804-6410
US
V. Phone/Fax
- Phone: 410-546-1331
- Fax: 443-260-2754
- Phone: 410-546-1331
- Fax: 443-260-2754
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | D0063199 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: