Boga, Gouthami
Boga, Gouthami is an individual health care provider with primary practice located at 1000 N Front St , Wormleysburg PA 17043-1021. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is her primary health care specialty. Boga, Gouthami can be contacted via phone (717) 731-0101.Contact Information
Primary practice address
1000 N Front St
Wormleysburg PA 17043-1021
Phone: (717) 731-0101
Fax: (717) 731-8359
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD451864 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD451864 | Pennsylvania |
Profile Details
| NPI number | 1043466881 |
|---|---|
| LBN Legal business name | Boga, Gouthami |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 12th, 2008 |
| Last updated | Jan 21st, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043466881 | NPPES |
| Pennsylvania | MEDICAID | 102926581 |
Popular Providers
-
Walsh, Timothy P
1000 N Front St , Wormleysburg PA 17043-1034 -
Pawlush, David G
1000 N Front St , Wormleysburg PA 17043-1034 -
Gutierrez, Felix
1000 N Front St , Wormleysburg PA 17043-1034 -
Hubbard, Cleon R
1000 N Front St , Wormleysburg PA 17043-1034 -
Rice, Keith S
1000 N Front St Suite 200, Wormleysburg PA 17043-1034 -
Zornosa, John P
1000 N Front St , Wormleysburg PA 17043-1034 -
Jones, Steven R
1000 N Front St , Wormleysburg PA 17043-1034 -
Nguyen, Thach N
1000 N Front St , Wormleysburg PA 17043-1034