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NPI Code Detail

MEDICARE: DR. NAGA S BUSHAN MD

MEDICARE: DR. NAGA S BUSHAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RR0500XRheumatology PhysicianH7707TX

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3CJ4139OTHERTXRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2H7707OTHERTXSTATE MEDICAL LICENSE
411352237OTHERTXCAQH NUMBER

General Provider Information

NPI Number : 1740262757
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NAGA S BUSHAN MD
Provider Business Mailing Address
First Line : PO BOX 54088
Second Line :
City : LUBBOCK
State : TX
Zip : 79453-4088
Country : US
Telephone Number : 806-771-2400
Fax Number : 806-771-2400
Provider Business Practice Location Address
First Line : 5220 80TH ST
Second Line :
City : LUBBOCK
State : TX
Zip : 79424-2862
Country : US
Telephone Number : 806-771-2400
Fax Number : 806-771-7760
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2005
Last Update Date : 05/04/2025

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