Healthcare Provider Details

I. General information

NPI: 1548361835
Provider Name (Legal Business Name): OHRI MEDICAL GROUP, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

165 BROOKLYN ST
WARSAW NY
14569-1413
US

IV. Provider business mailing address

165 BROOKLYN ST
WARSAW NY
14569-1413
US

V. Phone/Fax

Practice location:
  • Phone: 585-786-3106
  • Fax: 585-786-3407
Mailing address:
  • Phone: 585-786-3106
  • Fax: 585-786-3407

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number148370
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number138960
License Number StateNY
# 3
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberF303253
License Number StateNY
# 4
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberF331695
License Number StateNY

VIII. Authorized Official

Name: MR. TARUN K OHRI
Title or Position: PRESIDENT
Credential: M.D.
Phone: 585-786-3106