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NPI Code Detail

MEDICARE: RAMONA C JORA M.D.

MEDICARE: RAMONA C JORA M.D.
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
1174400000XSpecialist01057336AIN
2207ZP0102XAnatomic Pathology & Clinical Pathology Physician01057336IN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346243508
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAMONA C JORA M.D.
Provider Business Mailing Address
First Line : 5700 SOUTHWYCK BLVD
Second Line :
City : TOLEDO
State : OH
Zip : 43614-1509
Country : US
Telephone Number : 800-288-8325
Fax Number : 812-232-1517
Provider Business Practice Location Address
First Line : 1606 N 7TH ST
Second Line :
City : TERRE HAUTE
State : IN
Zip : 47804-2706
Country : US
Telephone Number : 812-244-0100
Fax Number : 812-232-1517
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/17/2015

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