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Individual

DR. NAGA S BUSHAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5220 80TH ST, LUBBOCK, TX 79424-2862
(806) 771-2400
(806) 771-7760
Mailing address
PO BOX 54088, LUBBOCK, TX 79453-4088
(806) 771-2400
(806) 771-2400

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
H7707
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11352237
CAQH NUMBER
TX
05
130488308
TX
01
CJ4139
RAILROAD MEDICARE
TX
01
H7707
STATE MEDICAL LICENSE
TX
Enumeration date
11/16/2005
Last updated
05/04/2025
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