National Provider Identifier Database

N RAO BOORGU MD PC
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

N RAO BOORGU MD PC
422 E DR HICKS BLVD
FLORENCE, AL35630-5763
Phone: 256-766-1401
Fax: 256-766-1402
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X
Acute Care 364SA2100X
Family 363LF0000X

* Indicates primary specialty

NPI Profile & details for N RAO BOORGU MD PC

NPI Number 1780641951
Legal business name
LBN
N RAO BOORGU MD PC
Authorized official NARASIMHA BOORGU - (PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 04/29/2006
Last updated 05/29/2019 - About 7 years ago
Sole proprietor1 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

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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