Boorgu, Rajesh
Boorgu, Rajesh is an individual health care provider with primary practice located at 422 E Dr Hicks Blvd , Florence AL 35630-5763. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Boorgu, Rajesh can be contacted via phone (256) 766-1401.Contact Information
Primary practice address
422 E Dr Hicks Blvd
Florence AL 35630-5763
Phone: (256) 766-1401
Fax: (256) 766-1402
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 000020221 | Alabama |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 000020221 | Alabama |
Profile Details
| NPI number | 1033117817 |
|---|---|
| LBN Legal business name | Boorgu, Rajesh |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2005 |
| Last updated | Aug 16th, 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 | 1033117817 | NPPES |
| Alabama | MEDICAID | 000076742 | |
| Alabama | MEDICAID | 529400760 | |
| Alabama | Other | 110208939 | |
| Alabama | Other | CC6102 |
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