KETUL P VORA (NPI# 1891126330) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891126330 |
| Entity Type | Individual |
| Full Name | KETUL P VORA |
| Credential | MD |
| Practice Address |
4250 Bethel Rd Olive Branch MS 38654-8737 |
| Mailing Address |
Po Box 1000, Dept 351 Memphis TN 38148-0001 |
| Practice Telephone | 9015161290 |
| Practice Fax Number | 9015161220 |
| Mailing Telephone | 9017589900 |
| Mailing Fax Number | 9017522335 |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2019-12-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 27130 | MS | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 59450 | TN | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 275562 | NY | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1300 Wesley Dr, Memphis, TN 381166426 | 9015165741 | 9015165596 |
| 7691 Poplar Ave, Germantown, TN 381383904 | 9015161290 | 9015161220 |
| Street Address |
4250 BETHEL RD |
| City | OLIVE BRANCH |
| State | MS |
| Zip Code | 38654-8737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952356206 | Scott Wood Kirsch | Family Medicine | 4250 Bethel Rd, Olive Branch, MS 38654 | 2006-05-24 |
| 1174143929 | Robin Van Nortwick | Speech-Language Pathologist | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2020-04-22 |
| 1710529888 | Brittany Alaina Crowell Miller | Registered Nurse | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2019-10-10 |
| 1578923371 | Kristin Cox Spence | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2016-03-07 |
| 1316307366 | Terricka Latrease Bailey | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2016-03-03 |
| 1093191751 | Queen Mcghee | Nurse Practitioner | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2015-08-05 |
| 1093122210 | Denice Kildow | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-07-21 |
| 1174930259 | Leann Nicole Gatewood | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-07-21 |
| 1215347349 | Douglas Thaggard | Hospitalist | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2014-04-28 |
| 1255752283 | Neha Patel | Physician Assistant | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2013-12-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093366213 | Latonya Shontae Binion | Home Health | 5915 Brice Cove North, Olive Branch, MS 38654 | 2019-09-28 |
| 1356828677 | Heath Bryan Coleman, Dds of Mississippi II, Pllc | Dentist | 688 Goodman Rd, Ste 123, Olive Branch, MS 38654 | 2018-07-20 |
| 1629565684 | Alexis Summerville Mcdavis | Pharmacist | 7950 Craft Goodman Frontage Rd, Olive Branch, MS 38654 | 2018-04-16 |
| 1194237206 | Exos Physical Therapy and Sports Medicine, LLC | Physical Therapist | 6542 Goodman Rd, Olive Branch, MS 38654 | 2017-10-30 |
| 1609386515 | Laken Hood Richardson | Physical Therapist | 9085 East Sandidge Cove, Suite 250, Olive Branch, MS 38654 | 2017-10-05 |
| 1275064255 | Heart of Hospice, LLC | Hospice Care, Community Based | 9849 Highway 178 Unit B, Olive Branch, MS 38654 | 2017-03-22 |
| 1023557865 | Michael Patrick Mccallum | Counselor | 9320 Railroad Ave., Olive Branch, MS 38654 | 2017-02-13 |
| 1891179768 | Desoto Children's Clinic - Olive Branch | Pediatrics | 7145 Goodman Road, Olive Branch, MS 38654 | 2015-07-10 |
| 1891185203 | Kristina Harper | Midwife | 9086 Pigeon Roost Rd Ste C, Olive Branch, MS 38654 | 2015-01-23 |
| 1275955098 | Global Medical | Durable Medical Equipment & Medical Supplies | 6229 Hwy 305 Ste L, Olivebranch, MS 38654 | 2014-01-14 |
| Find all providers in zip 38654 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811912298 | Edward Ikem Gbemudu | Internal Medicine | 6953 Oak Forest Dr, Olive Branch, MS 38654-1920 | 2006-07-13 |
| 1801868666 | John William Allen Jr. | Internal Medicine | 7163 Goodman Rd, Olive Branch, MS 38654-1904 | 2006-02-06 |
| 1871835942 | Jennifer Lee | Internal Medicine | 4250 Bethel Rd, Olive Branch, MS 38654-8737 | 2013-03-26 |
| 1518127620 | Shailesh Mansukh Patel | Internal Medicine | 7163 Goodman Rd, Olive Branch, MS 38654-1904 | 2008-06-12 |
| 1952332595 | Vanessa Mckenzie | Internal Medicine | 8990 Germantown Rd, Olive Branch, MS 38654-8532 | 2006-07-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275148264 | Ludmila Nahar | Internal Medicine | 18 Windwood Cv, Flowood, MS 39232-7921 | 2020-09-15 |
| 1013533637 | Ochsner Mississippi, LLC | Internal Medicine | 111 N Cleveland Ave, Long Beach, MS 39560-4713 | 2020-06-19 |
| 1215556048 | Hannah Roberts Badon | Internal Medicine | 2450 Wild Valley Dr, Jackson, MS 39211-6224 | 2020-04-12 |
| 1649809476 | Rachel Horn Mullins | Internal Medicine | 5379 Fairway St, Jackson, MS 39211-4251 | 2020-04-03 |
| 1497391288 | Ahmad Abdali Haidar Md Pa | Internal Medicine | 200 Golf Course Dr, Carriere, MS 39426-9037 | 2019-11-27 |
| 1437711991 | Amanda L Wiltshire | Internal Medicine | 1300 Sunset Dr Ste A, Grenada, MS 38901-4081 | 2019-07-05 |
| 1447812540 | Waqaar Ahmed Arshad | Internal Medicine | 3226 Kendrick Rd Apt 14, Corinth, MS 38834-9207 | 2019-06-28 |
| 1023675048 | Fitvisits LLC | Internal Medicine | 731 S Pear Orchard Rd Ste 16, Ridgeland, MS 39157-4800 | 2019-05-24 |
| 1629542832 | Internal Medicine Primary Care Pa | Internal Medicine | 140 Daughdrill Sta, Flowood, MS 39232-8406 | 2019-01-22 |
| 1003313180 | Ochsner Mississippi, LLC | Internal Medicine | 4550 Shepherd Sq, Diamondhead, MS 39525-3325 | 2018-04-06 |
| Find all providers with the same taxonomy | ||||
| City | OLIVE BRANCH |
| Zip Code | 38654 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.