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General NPI Number Information
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NPI Number | 1477048130
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Entity Type | Individual
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Provider Name | ISHAAN VOHRA MD
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Gender | Male
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 315 W CARPENTER ST FL 1
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City | SPRINGFIELD
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State | IL
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Zip | 62702-4901
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Country | US
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Telephone | 217-545-8000
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Fax | 217-545-0548
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Provider Business Mailing Address
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Address Line | PO BOX 3988
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City | CARBONDALE
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State | IL
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Zip | 62902-3988
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Country | US
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Telephone | 618-457-5200
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Fax | 618-351-4821
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 036155552
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 036.155552
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License Number State | IL
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