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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