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:
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Health care specialties

SpecialtyCodeLicense #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 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033117817 NPPES
Alabama MEDICAID 000076742
Alabama MEDICAID 529400760
Alabama Other 110208939
Alabama Other CC6102

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