Individual
SHOBHA BOGHANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1455 E RIDGE RD, ROCHESTER, NY 14621-2006
(585) 922-4315
(585) 922-5741
Mailing address
601 ELMWOOD AVE, BOX 659, ROCHESTER, NY 14642-0001
(585) 273-3937
(585) 276-0236
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
218035
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02097143
—
NY
Enumeration date
07/11/2006
Last updated
07/05/2023
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