Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 015332 | LA |
NPI | 1003815903 |
---|---|
Provider Name | Dr. Gregory Robbert Vorhoff |
First Address | Kenner, LA 70065 |
Second Address | Kenner, LA 70065 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/07/2005 |
Last Update Date | 12/01/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
060018481 | MEDICARE RAILROAD (01) | LA |
1339156 | (05) | LA |
B61947 | (02) | LA |