Provider Demographics
NPI:1487616595
Name:VOHRA, SURINDER P S (MD)
Entity type:Individual
Prefix:DR
First Name:SURINDER
Middle Name:P S
Last Name:VOHRA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 6TH AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2641
Mailing Address - Country:US
Mailing Address - Phone:717-845-7373
Mailing Address - Fax:717-845-7960
Practice Address - Street 1:1600 6TH AVE
Practice Address - Street 2:STE 101
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403
Practice Address - Country:US
Practice Address - Phone:717-845-7373
Practice Address - Fax:717-845-7960
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-04
Last Update Date:2013-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050953L207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014311570001Medicaid
PA0014311570001Medicaid
F63067Medicare UPIN