N RAO BOORGU MD PC; NPI #1780641951

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

NPI # 1780641951

LBN Legal business name N RAO BOORGU MD PC

Authorized official NARASIMHA BOORGU - (PRESIDENT)

Entity Organization

Organization subpart ¹ No

Enumeration date 04/29/2006

Last updated 05/29/2019 - About 7 years ago

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 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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N RAO BOORGU MD PC

Contact Information

Specialty

Nephrology

Acute Care

Family

NPI Profile & details for N RAO BOORGU MD PC

Reviews for N RAO BOORGU MD PC