Healthcare Provider Details

I. General information

NPI: 1457083347
Provider Name (Legal Business Name): AMMAR ARIF VOHRA MBBS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/29/2022
Last Update Date: 06/23/2025
Certification Date: 06/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 W 13 MILE RD
ROYAL OAK MI
48073-6712
US

IV. Provider business mailing address

3535 W 13 MILE RD STE 344
ROYAL OAK MI
48073-6770
US

V. Phone/Fax

Practice location:
  • Phone: 248-551-0497
  • Fax: 248-551-4556
Mailing address:
  • Phone: 248-551-0497
  • Fax: 248-551-4556

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number4351054905
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: