Organization
RAGHAV LLC
Active
Organization
RAGHAV LLC
Active
Other names
Carefirst Wellness Associates of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARESH BOGHARA M.D. (OWNER)
(214) 250-2140
Entity
Organization
Contact information
Practice address
12361 W BOLA DR, STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
(623) 227-2000
Mailing address
12361 W BOLA DR STE 109, SURPRISE, AZ 85378-9021
(623) 227-1000
(623) 227-2000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
208000000X
Pediatrics Physician
—
—
2084N0400X
Neurology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QM2500X
Medical Specialty Clinic/Center
41238
AZ
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/01/2016
Last updated
07/01/2024
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