Provider Demographics
NPI:1548318298
Name:VOHRA, RICHA (MD)
Entity type:Individual
Prefix:DR
First Name:RICHA
Middle Name:
Last Name:VOHRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24039 W LOCKPORT RD
Mailing Address - Street 2:
Mailing Address - City:PLAINFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60544-1832
Mailing Address - Country:US
Mailing Address - Phone:815-436-3600
Mailing Address - Fax:815-436-8367
Practice Address - Street 1:24039 W LOCKPORT RD
Practice Address - Street 2:
Practice Address - City:PLAINFIELD
Practice Address - State:IL
Practice Address - Zip Code:60544-1832
Practice Address - Country:US
Practice Address - Phone:815-436-3600
Practice Address - Fax:815-436-8367
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2012-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036099891225500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225500000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL09927431OtherBLUE CROSS BLUE SHIELD