N RAO BOORGU MD PC, Nephrology FLORENCE, AL

Contact Information

N RAO BOORGU MD PC

422 E DR HICKS BLVD
FLORENCE, AL 35630-5763

Phone: 256-766-1401
Fax: 256-766-1402
Website:

Specialty	Taxonomy Code	Specialty Code	Provider Type
Nephrology	207RN0300X	11	Physician/Internal Medicine
Acute Care	364SA2100X	89	Certified Clinical Nurse Specialist
Family	363LF0000X	50	Nurse Practitioner

Indicates primary specialty

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NPI Profile & details for N RAO BOORGU MD PC · (Female)

NPI #	`1780641951`
Status	Active
Credentials
Entity	Individual
Enumeration date	04/29/2006
Last updated	05/29/2019 - About 7 years ago
Sole proprietor ¹	Not specified
Identifiers	AL License # 20061172 AL License # 20061173 AL License # 20061174 AL Medicaid 000000582 AL Medicaid 000026605 AL Medicaid 000037272 AL Medicaid 0000500688 AL Medicaid 000060570 AL Medicaid 000076742 AL Medicaid 102I397202 AL Medicaid 102I500688 AL Medicaid 529400760 MS Medicaid 00012106 MS Medicaid 00122786 MS Medicaid 0118607 MS Medicaid 05930201 SC Other CC6102 MEDICARE RAILROAD/PALMETTO GBA - GROUP SC Other 110126478 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL SC Other 110131573 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL SC Other 110208939 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL SC Other 500011241 MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
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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N RAO BOORGU MD PCNephrology

Contact Information

Specialty

Nephrology

Acute Care

Family

NPI Profile & details for N RAO BOORGU MD PC · (Female)

Reviews for N RAO BOORGU MD PC

N RAO BOORGU MD PC
Nephrology