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Contact Information

KANCHANA BOSEROY, MD
2141 N BEVERLY AVE STE 101
TUCSON, AZ85712-2155
 Phone: 520-324-6290
 Fax: 520-324-6291
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Developmental - Behavioral Pediatrics

2080P0006X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for KANCHANA BOSEROY · (Female)

NPI # 1417910076
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2006
Last updated 09/26/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • AZ License # 56115
  • NY License # 200927
  • AZ Medicaid 336861
  • NY Medicaid 02235656
  • AZ Other Z214068 MEDICARE
Hospital affiliation(s) Not Available
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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