Healthcare Provider Details

I. General information

NPI: 1487378543
Provider Name (Legal Business Name): KEYURKUMAR VORA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2022
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 4TH ST
LUBBOCK TX
79430-0002
US

IV. Provider business mailing address

930 KINZER AVE
CARMEL IN
46032-3347
US

V. Phone/Fax

Practice location:
  • Phone: 806-743-1501
  • Fax: 806-743-1183
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number49173
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: