# RONALD S BORIS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1427254945
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 01068316A | IN | Yes |
| 208800000X | Urology Physician | 430108005 | MI | — |

## Other

- **Enumeration date:** 06/22/2007
- **Last updated:** 05/16/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000673864 | ANTHEM PIN | IN |
| 05 | — | 200990140 | — | IN |