Individual
DOLLY ALBERT BOUGHABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
01072116A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000804952
ANTHEM BCBS
IN
05
—
200388530
—
IN
05
—
64053101
—
KY
Enumeration date
06/06/2006
Last updated
05/20/2025
Update your record
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