Boya, Gushyalatha
Boya, Gushyalatha is an individual health care provider with primary practice located at 1401 Medical Pkwy Ste 220 , Cedar Park TX 78613-5013. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Boya, Gushyalatha can be contacted via phone (512) 324-4083.Contact Information
Primary practice address
1401 Medical Pkwy Ste 220
Cedar Park TX 78613-5013
Phone: (512) 324-4083
Fax: (512) 324-4717
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP1-0026596 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | N2011 | Texas |
Profile Details
| NPI number | 1679777270 |
|---|---|
| LBN Legal business name | Boya, Gushyalatha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 14th, 2007 |
| Last updated | Feb 11th, 2022 - 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 | 1679777270 | NPPES |
| Texas | MEDICAID | 280010401 | |
| Texas | MEDICAID | 280010402 | |
| Texas | MEDICAID | 280010403 | |
| Texas | Other | 3853840484 |
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