Boggaram, Bhagyalakshmi Gopal
Boggaram, Bhagyalakshmi Gopal is an individual health care provider with primary practice located at 4061 W 95Th St , Oak Lawn IL 60453-2611. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Boggaram, Bhagyalakshmi Gopal can be contacted via phone (630) 961-4150.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | N3508 | Texas |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 036-167214 | Illinois |
Profile Details
| NPI number | 1922218403 |
|---|---|
| LBN Legal business name | Boggaram, Bhagyalakshmi Gopal |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 23rd, 2007 |
| Last updated | Feb 9th, 2024 - about 9 months 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 | 1922218403 | NPPES |
| Texas | MEDICAID | 204805001 |
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