Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | 2012-01643 | NC |
NPI | 1134308158 |
---|---|
Provider Name | Nasreen A Vohra |
First Address | Greenville, NC 27835-8423 |
Second Address | Greenville, NC 27834-4300 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/10/2007 |
Last Update Date | 13/08/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1729J | BCBS OF NC (01) | NC |
5921529 | (05) | NC |