Rajesh Boorgu MD, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RAJESH BOORGU MD, LLC

Practice address

201 Avalon Ave
Muscle Shoals, AL 35661-2805

Phone

(256) 766-1401

Fax

(256) 766-1402

NPI assigned

Aug 13, 2021

Last updated

Aug 13, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajesh Boorgu, MDNPI 1033117817

Title

MD/Owner

Phone

(256) 766-1401

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rajesh Boorgu, M.D.

  • Nephrology Physician
  • Florence, AL
  • NPI 1033117817
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1628812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1205501996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "422 E DR HICKS BLVD STE A",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356305730",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 AVALON AVE",
            "city": "MUSCLE SHOALS",
            "state": "AL",
            "postal_code": "356612805",
            "telephone_number": "256-766-1401",
            "fax_number": "256-766-1402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAJESH BOORGU MD, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-13",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "BOORGU",
        "authorized_official_first_name": "RAJESH",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "256-766-1401",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Muscle Shoals, AL
• Providers in Muscle Shoals, AL by specialty
• Nephrology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.