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Individual
DR. NARASIMHA RAO BOORGU
Active
Individual
DR. NARASIMHA RAO BOORGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
000008018
AL
207RN0300X
Nephrology Physician
Primary
000008018
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000582
—
AL
01
—
110126478
MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
SC
05
—
529400760
—
AL
01
—
CC6102
MEDICARE RAILROAD/PALMETTO GBA GROUP
SC
Enumeration date
07/13/2005
Last updated
10/21/2008
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