MEDICARE: GULNAZ VAHORA

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	R233649	MD

General Provider Information

NPI Number	:	1720952716
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GULNAZ VAHORA

Provider Business Mailing Address
First Line	:	7003 MAHANT WAY
Second Line	:
City	:	ELKRIDGE
State	:	MD
Zip	:	21075-5460
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12500 WILLOWBROOK RD
Second Line	:
City	:	CUMBERLAND
State	:	MD
Zip	:	21502-6393
Country	:	US
Telephone Number	:	240-964-7000
Fax Number	:

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

Provider Enumeration Date	:	10/02/2025
Last Update Date	:	06/23/2026

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Directions to “ GULNAZ VAHORA ” Practice Location

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