Provider Demographics
NPI:1215920889
Name:VORA, SWATI DEVENDRA (MD)
Entity type:Individual
Prefix:DR
First Name:SWATI
Middle Name:DEVENDRA
Last Name:VORA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:PO BOX 65425
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PLACE
Mailing Address - State:WA
Mailing Address - Zip Code:98464-1425
Mailing Address - Country:US
Mailing Address - Phone:253-770-7960
Mailing Address - Fax:253-770-7982
Practice Address - Street 1:2201 S 19TH ST
Practice Address - Street 2:SUITE 205
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-2962
Practice Address - Country:US
Practice Address - Phone:253-274-5616
Practice Address - Fax:253-274-5634
Is Sole Proprietor?:Yes
Enumeration Date:2005-08-29
Last Update Date:2021-04-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00041064173000000X, 2084N0402X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0402XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology with Special Qualifications in Child Neurology
No173000000XOther Service ProvidersLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1122449Medicaid
WAG86630Medicare UPIN