Organization
N RAO BOORGU MD PC
Active
Other names
Shoals Kidney & HTN Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARASIMHA RAO BOORGU M.D. (PRESIDENT)
(256) 766-1401
Entity
Organization
Contact information
Practice address
422 E DR HICKS BLVD, FLORENCE, AL 35630-5763
(256) 766-1401
(256) 766-1402
Mailing address
422 E DR HICKS BLVD STE A, FLORENCE, AL 35630-5730
(256) 766-1401
(256) 766-1402
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
20061172
AL
207RN0300X
Nephrology Physician
Primary
20061173
AL
207RN0300X
Nephrology Physician
20061174
AL
363LF0000X
Family Nurse Practitioner
—
AL
364SA2100X
Acute Care Clinical Nurse Specialist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000582
—
AL
05
—
000026605
—
AL
05
—
000037272
—
AL
05
—
0000500688
—
AL
05
—
000060570
—
AL
05
—
000076742
—
AL
05
—
00012106
—
MS
05
—
00122786
—
MS
05
—
0118607
—
MS
05
—
05930201
—
MS
05
—
102I397202
—
AL
05
—
102I500688
—
AL
01
—
110126478
MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
SC
01
—
110131573
MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
SC
01
—
110208939
MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
SC
01
—
500011241
MEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
SC
05
—
529400760
—
AL
01
—
CC6102
MEDICARE RAILROAD/PALMETTO GBA - GROUP
SC
Enumeration date
04/29/2006
Last updated
05/29/2019
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