Provider Demographics
NPI:1588777049
Name:SURINDER VOHRA MDPC
Entity type:Organization
Organization Name:SURINDER VOHRA MDPC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LASKOWICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:717-845-7373
Mailing Address - Street 1:1600 6TH AVE
Mailing Address - Street 2:STE 101
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-2626
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:17403-2626
Practice Address - Country:US
Practice Address - Phone:717-845-7373
Practice Address - Fax:717-845-7960
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2014-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD050953L207RX0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RX0202XAllopathic & Osteopathic PhysiciansInternal MedicineMedical OncologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA076376Medicare ID - Type Unspecified
PA5563080001Medicare NSC
PA047698Medicare ID - Type Unspecified