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N RAO BOORGU MD PC NPI 1780641951


NPI Information

NPI: 1780641951
Provider Name: N RAO BOORGU MD PC

Doing Business As: SHOALS KIDNEY & HTN CENTER

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 01D0944031

Address:
422 E DR HICKS BLVD
FLORENCE, AL
ZIP 35630
Phone: (256) 766-1401
Get Directions

N RAO BOORGU MD PC is a nephrology internal medicine in Florence, AL. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. N RAO BOORGU MD PC NPI is 1780641951. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Shoals Kidney & Htn Center.

The provider's business location address is:

422 E DR HICKS BLVD
FLORENCE, AL
ZIP 35630-763
Phone: (256) 766-1401
Fax: (256) 766-1402

The provider's authorized official is Narasimha Rao Boorgu .
The authorized official title is President and has the following contact phone number (256) 766-1401.

The CLIA number assigned to this NPI record is 01D0944031 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/29/2006 and was last updated on 5/29/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrology20061174ALABAMANo
2207RN0300XInternal MedicineNephrology20061172ALABAMANo
3363LF0000XNurse PractitionerFamilyALABAMANo
4364SA2100XClinical Nurse SpecialistAcute CareNo
5207RN0300XInternal MedicineNephrology20061173ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10000500688MEDICAIDALABAMA
2000060570MEDICAIDALABAMA
30118607MEDICAIDMISSISSIPPI
4500011241OTHERSOUTH CAROLINAMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
5000076742MEDICAIDALABAMA
6102I397202MEDICAIDALABAMA
7529400760MEDICAIDALABAMA
8110208939OTHERSOUTH CAROLINAMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
9000000582MEDICAIDALABAMA
10000026605MEDICAIDALABAMA
1100012106MEDICAIDMISSISSIPPI
12102I500688MEDICAIDALABAMA
13CC6102OTHERSOUTH CAROLINAMEDICARE RAILROAD/PALMETTO GBA - GROUP
14000037272MEDICAIDALABAMA
1500122786MEDICAIDMISSISSIPPI
16110131573OTHERSOUTH CAROLINAMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL
1705930201MEDICAIDMISSISSIPPI
18110126478OTHERSOUTH CAROLINAMEDICARE RAILROAD/PALMETTO GBA - INDIVIDUAL

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.