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NPI Code Detail

MEDICARE: MAURYA ORAMA PT

MEDICARE: MAURYA ORAMA PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist8618SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1O00659064OTHERFLMEDICARE RAILROAD

General Provider Information

NPI Number : 1164422960
Entity Type Code : Individual
Provider Name (Legal Business Name) : MAURYA ORAMA PT
Provider Business Mailing Address
First Line : 2145 FLICKER RD
Second Line :
City : INDIAN LAND
State : SC
Zip : 29707-6217
Country : US
Telephone Number : 813-777-6281
Fax Number :
Provider Business Practice Location Address
First Line : 2142 UTOPIA PKWY
Second Line :
City : WHITESTONE
State : NY
Zip : 11357-4142
Country : US
Telephone Number : 718-767-0610
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/22/2005
Last Update Date : 05/04/2026

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Directions to “ MAURYA ORAMA PT” Practice Location

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