KANCHANA BOSEROY (NPI# 1417910076) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417910076 |
| Entity Type | Individual |
| Full Name | KANCHANA BOSEROY |
| Credential | MD |
| Practice Address |
2141 N Beverly Ave Ste 101 Tucson AZ 85712 |
| Mailing Address |
Po Box 31235 Tucson AZ 85751-1235 |
| Practice Telephone | 5203246290 |
| Practice Fax Number | 5203246291 |
| Mailing Telephone | 5203242308 |
| Mailing Fax Number | 5203241406 |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2019-09-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | 200927 | NY | Allopathic & Osteopathic Physicians |
| Y | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
56115 | AZ | Allopathic & Osteopathic Physicians |
| N | 2080P0006X |
Pediatrics Specialization: Developmental – Behavioral Pediatrics |
200927 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02235656 | 05 | |
| AZ | 336861 | 05 | |
| AZ | MEDICARE | Z214068 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14601 45th Ave, Rm 403, Flushing, NY 11355 | 7186705213 | 7183216004 |
| 653 N Town Center Dr Ste 112, Las Vegas, NV 891440515 | 7027333098 | 7027339751 |
| Street Address |
2141 N BEVERLY AVE STE 101 |
| City | TUCSON |
| State | AZ |
| Zip Code | 85712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720564495 | Sydney Cain | Dietitian, Registered | 2141 N Beverly Ave Ste 101, Tucson, AZ 85712-2155 | 2018-07-16 |
| 1467766311 | Daniel Ruderfer | Pediatrics | 2141 N Beverly Ave Ste 101, Tucson, AZ 85712-2155 | 2010-08-03 |
| 1649443680 | Mavel Gutierrez-jaramillo | Pediatrics | 2141 N Beverly Ave Ste 101, Tucson, AZ 85712-2155 | 2008-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871104950 | Nancy Rae Klug | Registered Nurse | 2380 N Ferguson Ave., Tucson, AZ 85712 | 2020-08-12 |
| 1013525534 | James Tutu Fiske I | Nurse Practitioner | 5700 E. Pima Street Suite C., Tucson, AZ 85712 | 2020-07-21 |
| 1063031953 | Mehera Tiffanie Hormuz | Student in an Organized Health Care Education/Training Program | 5301 E. Grant Rd., Tucson, AZ 85712 | 2020-04-10 |
| 1770133282 | Elizabeth Nadeschzda Lowell | Nurse Practitioner | 4881 E Grant Road, Suite 101, Tucson, AZ 85712 | 2019-09-17 |
| 1174185649 | Pisa Asc Holdco LLC | Clinic/Center | 4741 E Camp Lowell Drive, Tucson, AZ 85712 | 2019-07-03 |
| 1548821838 | Painted Sky Healthcare, Inc. | Hospice Care, Community Based | 2980 N Swan Rd Ste 222, Tucson, AZ 85712 | 2019-06-26 |
| 1558925644 | Helen Jane Lyall | Registered Nurse | Tucson Medical Centre, 5301 E Grant Road, Tucson, AZ 85712 | 2019-04-24 |
| 1760953541 | Anna Marissa Ramirez | Nurse Practitioner | 5170 E Glenn St Ste 160, Tucson, AZ 85712 | 2018-12-05 |
| 1407343841 | Imran Ata Md Pllc | Internal Medicine | 3925 E Fort Lowell Rd Ste 105, Tucson, AZ 85712 | 2018-04-20 |
| 1003322926 | Millennium Acupuncture | Acupuncturist | 6161 E Pima St Tucson Az 85712, Apt 2074, Tucson, AZ 85712 | 2017-12-15 |
| Find all providers in zip 85712 | ||||
| Taxonomy Code | 2080P0006X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Developmental – Behavioral Pediatrics |
| A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740327071 | Sharon Mcdonough Means | Pediatrics | 1601 N Tucson Blvd, Suite 20, Tucson, AZ 85716-3425 | 2007-01-30 |
| 1154403111 | Sydney A Rice | Pediatrics | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2006-10-19 |
| 1598772501 | Catherine Riley | Pediatrics | 535 N Wilmot Rd, Tucson, AZ 85711-2600 | 2006-08-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447861125 | Kelly Moritz | Pediatrics | 2007 E Rockwood Dr, Phoenix, AZ 85024-3075 | 2020-08-14 |
| 1982194387 | 1st Allegiant LLC | Pediatrics | 21798 E Cherrywood Dr, Queen Creek, AZ 85142-4886 | 2018-05-11 |
| 1942319090 | Robin K Blitz | Pediatrics | 1919 E Thomas, Phoenix, AZ 85016 | 2006-08-30 |
| 1235109612 | Victoria L Sheppard-labrecque | Pediatrics | 4848 E Cactus Rd Ste 940, Scottsdale, AZ 85254-4164 | 2006-01-26 |
| 1144562224 | Dannah Geclewicz Raz | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2013-03-26 |
| 1073892329 | Psf Arizona Office | Pediatrics | 5020 E Shea Blvd, Ste 100, Scottsdale, AZ 85254-4603 | 2011-08-04 |
| 1518085539 | Raun D. Melmed | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-27 |
| 1558489807 | Agnes Ocampo Bilog | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-26 |
| 1437277795 | Shabana Jawed Jessani | Pediatrics | 5020 E Shea Blvd, Suite 100, Scottsdale, AZ 85254-4603 | 2007-03-26 |
| 1972621225 | Mark Stephen Ruggiero | Pediatrics | 1919 E Thomas Rd, Phoenix, AZ 85016-7710 | 2007-03-26 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KANCHANA BOSEROY.
| 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.