Individual provider · NPI-1

Dr. Mohmed Imran Gora, M.D.

Internal Medicine · Bullhead City, AZ

NPI number1841643590

StatusActive

Last updated in NPPESOct 21, 2021

Details

NPI: 1841643590
Entity type: Individual (NPI-1)
Name: Dr. Mohmed Imran Gora
Credential: M.D.
Sex: Male
Sole proprietor: Yes
Enumeration date: Jul 18, 2016
Certification date: Oct 21, 2021
Last updated: Oct 21, 2021

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
207R00000X	Internal Medicine	57755	AZ	Yes
208M00000X	Hospitalist	57755	AZ

Practice location

2735 Silver Creek Rd
Bullhead City, AZ 86442-7924

Phone 928-763-2273

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870

Phone 800-893-9698

Other practice locations

234 E 149th St
8 Floor Room 8.32
Bronx, NY 10451-5504

Phone 718-579-5874 · Fax 718-579-4836

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