Individual
RAJ K BOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2404 E RIVER RD, BLD.2, STE 100, TUCSON, AZ 85718
(520) 696-4780
(520) 408-1847
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2138
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
0101051207
VA
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
27633
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
330005254
RR MEDICARE
AZ
05
—
515661
—
AZ
01
—
ZWCGCR
GROUP MEDICARE NUMBER
AZ
Enumeration date
02/06/2006
Last updated
12/11/2024
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