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Contact Information

GOUTHAMI BOGA, MD
1000 N FRONT ST
WORMLEYSBURG, PA17043-1021
 Phone: 717-731-0101
 Fax: 717-731-8359
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
 

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for GOUTHAMI BOGA · (Female)

NPI # 1043466881
Status Active
Credentials MD
Entity Individual
Enumeration date 08/12/2008
Last updated 01/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD451864
  • PA Medicaid 102926581
Hospital affiliation(s)
  • CARLISLE REGIONAL MEDICAL CENTER - (Acute Care)
    361 ALEXANDER SPRING ROAD
    CARLISLE, PA 17015
  • PINNACLE HEALTH HOSPITALS - (Acute Care)
    409 SOUTH SECOND STREET
    HARRISBURG, PA 17105
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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