MEDICARE: DR. PRAFULLCHANDRA DOLATRAI VORA 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
1	207RC0000X	Cardiovascular Disease Physician	MD023883E	PA
2	207R00000X	Internal Medicine Physician	MD023883E	PA

General Provider Information

NPI Number	:	1447256342
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. PRAFULLCHANDRA DOLATRAI VORA M.D.

Provider Business Mailing Address
First Line	:	249 ELM DR
Second Line	:
City	:	WAYNESBURG
State	:	PA
Zip	:	15370-8275
Country	:	US
Telephone Number	:	724-627-8131
Fax Number	:

Provider Business Practice Location Address
First Line	:	249 ELM DRIVE
Second Line	:
City	:	WAYNESBURG
State	:	PA
Zip	:	15370
Country	:	US
Telephone Number	:	724-627-8131
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2005
Last Update Date	:	06/02/2008

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