MEDICARE: PARVEEN S. VAHORA MD PA

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	174400000X	Specialist	ME90987	FL
2	207VG0400X	Gynecology Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	ME90987	OTHER	FL	LICENSE

General Provider Information

NPI Number	:	1700083870
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARVEEN S. VAHORA MD PA

Provider Business Mailing Address
First Line	:	9332 STATE ROAD
Second Line	:	SUITE 403
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655
Country	:	US
Telephone Number	:	727-376-1536
Fax Number	:	727-376-1539

Provider Business Practice Location Address
First Line	:	9332 STATE ROAD 54 STE 403
Second Line	:
City	:	NEW PORT RICHEY
State	:	FL
Zip	:	34655-1810
Country	:	US
Telephone Number	:	727-376-1536
Fax Number	:	727-376-1539

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. PARVEEN SULTANA VAHORA
Credential	:	M.D.
Telephone Number	:	727-376-1536

Provider Enumeration Date	:	07/01/2007
Last Update Date	:	06/01/2021

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