Boothpur, Raghavender
Boothpur, Raghavender is an individual health care provider with primary practice located at 1525 Plumas Ct Ste C, Yuba City CA 95991-2971. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Boothpur, Raghavender can be contacted via phone (530) 822-5575.Contact Information
Primary practice address
1525 Plumas Ct Ste C
Yuba City CA 95991-2971
Phone: (530) 822-5575
Fax: (530) 822-5585
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A117765 | California |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | A117765 | California |
Profile Details
| NPI number | 1578613543 |
|---|---|
| LBN Legal business name | Boothpur, Raghavender |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2007 |
| Last updated | Oct 28th, 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 | 1578613543 | NPPES |
| California | MEDICAID | PENDING |
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