Provider Demographics
NPI:1437146776
Name:VORA, SETU K (MD)
Entity type:Individual
Prefix:
First Name:SETU
Middle Name:K
Last Name:VORA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:12 HARVEST GLN
Mailing Address - Street 2:
Mailing Address - City:EAST LYME
Mailing Address - State:CT
Mailing Address - Zip Code:06333-1556
Mailing Address - Country:US
Mailing Address - Phone:860-319-0470
Mailing Address - Fax:860-319-0398
Practice Address - Street 1:12 CASE ST STE 204
Practice Address - Street 2:
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:860-319-0470
Practice Address - Fax:860-319-0398
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-03
Last Update Date:2019-01-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CT042770207RP1001X
CT42770207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
042770OtherCONNECTICARE
042770OtherNORTHEAST HEALTH DIRECT
001427708OtherMEDICAID OF CONNECTICUT
290000408OtherMEDICARE OF CONNECTICUT
CT001427708Medicaid
010042770CT01OtherBLUE SHIELD OF CONNECTICU