Hareshkumar D Boghara, M.D.
Family Medicine in Desoto, TX. Individual provider (NPI-1).
NPI number1962660589
StatusActive
Last updated in NPPESApr 1, 2024
Details
- NPI
- 1962660589
- Entity type
- Individual (NPI-1)
- Name
- Hareshkumar D Boghara
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 30, 2008
- Certification date
- Apr 1, 2024
- Last updated
- Apr 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | P4289 | TX | Yes |
Practice location
935 York DrDesoto, TX 75115-2043
Phone 972-777-6956 · Fax 972-777-6922
Mailing address
951 York DrDesoto, TX 75115-2052
Phone 972-777-6956 · Fax 972-777-6922
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