Provider Demographics
NPI:1538232434
Name:VORA, BHUPENDRA N (MD)
Entity type:Individual
Prefix:MR
First Name:BHUPENDRA
Middle Name:N
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:142 PALISADE AVE
Mailing Address - Street 2:113
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07306
Mailing Address - Country:US
Mailing Address - Phone:201-656-7171
Mailing Address - Fax:201-656-1611
Practice Address - Street 1:142 PALISADE AVE
Practice Address - Street 2:113
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07306
Practice Address - Country:US
Practice Address - Phone:201-656-7171
Practice Address - Fax:201-656-1611
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-16
Last Update Date:2011-12-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA02845400207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ134140501Medicaid
NJ134140501Medicaid
V0451317Medicare ID - Type Unspecified