DMYTRO BOGUNOV SA-C NPI 1558916783

NPI Information

  • NPI: 1558916783
  • Provider Name: DMYTRO BOGUNOV, SA-C
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • Address: 7324 SOUTHWEST FWY STE 1550
    HOUSTON, TX
    ZIP 77074
  • Phone: (713) 779-9800

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NPI Details

Dmytro Bogunov, SA-C is a surgical physician assistant in Houston, TX. Dmytro Bogunov, SA-C NPI is 1558916783. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7324 SOUTHWEST FWY STE 1550
HOUSTON, TX
ZIP 77074-053
Phone: (713) 779-9800
Fax: (713) 779-9813

The enumeration date for this NPI number is 8/5/2019 and was last updated on 8/5/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgical17-537Yes
2246ZC0007XSpecialist/Technologist, OtherSurgical Assistant17-537No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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