Boseroy, Kanchana
Boseroy, Kanchana is an sole proprietor health care provider with primary practice located at 2141 N Beverly Ave Ste 101 , Tucson AZ 85712-2155. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics is her primary health care specialty. Boseroy, Kanchana can be contacted via phone (520) 324-6290.Contact Information
Primary practice address
2141 N Beverly Ave Ste 101
Tucson AZ 85712-2155
Phone: (520) 324-6290
Fax: (520) 324-6291
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 200927 | New York |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 200927 | New York |
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | 56115 | Arizona |
Profile Details
| NPI number | 1417910076 |
|---|---|
| LBN Legal business name | Boseroy, Kanchana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 6th, 2006 |
| Last updated | Sep 26th, 2023 - about 2 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 | 1417910076 | NPPES |
| Arizona | Other | Z214068 | MEDICARE |
| Arizona | MEDICAID | 02235656 | MEDICARE |
| Arizona | MEDICAID | 336861 | MEDICARE |
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