DR. RAJESH BOORGU (NPI# 1033117817) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033117817 |
| Entity Type | Individual |
| Full Name | DR. RAJESH BOORGU |
| Credential | M.D. |
| Practice Address |
422 E Dr Hicks Blvd Florence AL 35630-5763 |
| Practice Telephone | 2567661401 |
| Practice Fax Number | 2567661402 |
| Mailing Telephone | 2567661401 |
| Mailing Fax Number | 2567661402 |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2008-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 000020221 | AL | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
000020221 | AL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SC | MEDICARE RAILROAD/PALMETTO GBA - GROUP | CC6102 | 01 |
| SC | MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL | 110208939 | 01 |
| AL | 529400760 | 05 | |
| AL | 000076742 | 05 |
| Street Address |
422 E DR HICKS BLVD |
| City | FLORENCE |
| State | AL |
| Zip Code | 35630-5763 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922006816 | Subir K Paul | Internal Medicine | 422 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2005-07-13 |
| 1265710164 | Jamie Nichole Cockrell | Clinical Nurse Specialist | 422 E Dr Hicks Blvd, Suite A, Florence, AL 35630-5707 | 2011-07-26 |
| 1922261304 | Dwight M Matthew | Internal Medicine | 422 E Dr Hicks Blvd, Ste A, Florence, AL 35630-5707 | 2008-07-07 |
| 1780641951 | N Rao Boorgu Md PC | Internal Medicine | 422 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2006-04-29 |
| 1043218928 | Narasimha Rao Boorgu | Internal Medicine | 422 E Dr Hicks Blvd, Florence, AL 35630-5763 | 2005-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346880531 | Rachel E Belue | Counselor | 409 N. Court Street, Florence, AL 35630 | 2020-01-15 |
| 1154857746 | Danish Henry | Internal Medicine | North Alabama Medical Center, 1701 Veterans Dr, Florence, AL 35630 | 2017-05-03 |
| 1396118261 | Three Oaks Pharmacy LLC | Pharmacy | 861 Cox Creek Parkway, Florence, AL 35630 | 2015-11-02 |
| 1235501891 | Wellness Walk-in Clinic, LLC | Nurse Practitioner | 2612 Hough Road, Florence, AL 35630 | 2015-10-22 |
| 1972995207 | Elyse Angel | Pharmacist | 109 East Dr Hicks Blvd, Florence, AL 35630 | 2015-02-24 |
| 1750772380 | Whitlee Laina Kelley | Case Manager/Care Coordinator | 112 Titan Drive, Florence, AL 35630 | 2015-02-18 |
| 1942612155 | Hillary Jean Delarosa | Internal Medicine | 162 Titan Drive, Florence, AL 35630 | 2014-05-22 |
| 1952723678 | Sharron M Boatwright | Nurse Practitioner | 1949 Florence Boulevard, Occupational Health Center LLC, Florence, AL 35630 | 2014-01-15 |
| 1194160523 | Caryn Barnett | Physical Therapist | 412 S. Court Street, Suite 403, Florence, AL 35630 | 2013-04-29 |
| 1396074662 | Heather White Bryant | Counselor | 118 East Mobile St, Suite 106, Florence, AL 35630 | 2009-12-16 |
| Find all providers in zip 35630 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285643809 | Barefoot Doctors Healthcare Florence Pllc | Internal Medicine | 822 E Saguaro St, Florence, AZ 85232 | 2006-08-05 |
| 1851309116 | Sompong Kraikit | Internal Medicine | 1120 Dunvegan Rd, Florence, SC 29501-5626 | 2006-08-03 |
| 1538158449 | Wen-ting Ouyang | Internal Medicine | 255 Warley St, Florence, SC 29501-4444 | 2005-10-14 |
| 1831730183 | Kidney Associates of The Tristate | Internal Medicine | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2019-10-07 |
| 1437541901 | Mcleod Physician Associates II | Internal Medicine | 101 S Ravenel St, Suite 120, Florence, SC 29506-2618 | 2015-02-20 |
| 1811385032 | Govindappa LLC | Internal Medicine | 121 E Cedar St, 4th Floor, Florence, SC 29506-2576 | 2014-12-23 |
| 1184880049 | Mhd Adnan Alsaka | Internal Medicine | 101 S Ravenel St, Suite 120, Florence, SC 29506-2618 | 2008-07-31 |
| 1669676383 | Kidney Disease Consultants | Internal Medicine | 47 Cavalier Blvd, Suite 120, Florence, KY 41042-3969 | 2007-06-14 |
| 1316149412 | Ai Ngoc Tran | Internal Medicine | 6909 Burlington Pike Ste B, Florence, KY 41042-1618 | 2007-06-01 |
| 1598825929 | Pee Dee Nephrology LLP | Internal Medicine | 1100 E Cheves St, Florence, SC 29506-2708 | 2006-12-08 |
| Find all providers in FLORENCE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.