MEDICARE: UMESHA NARAGALU BOREGOWDA 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
1	207R00000X	Internal Medicine Physician	T5405	TX
2	207R00000X	Internal Medicine Physician	131265	CA
3	207RG0100X	Gastroenterology Physician	0101287711	VA
4	207R00000X	Internal Medicine Physician	291040	NY
5	207RG0100X	Gastroenterology Physician	036177168	IL

General Provider Information

NPI Number	:	1881977619
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UMESHA NARAGALU BOREGOWDA MD

Provider Business Mailing Address
First Line	:	1513 E NEW HOPE DR STE E
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78641-5760
Country	:	US
Telephone Number	:	737-356-8875
Fax Number	:	210-674-9086

Provider Business Practice Location Address
First Line	:	1513 E NEW HOPE DR STE E
Second Line	:
City	:	CEDAR PARK
State	:	TX
Zip	:	78641-5760
Country	:	US
Telephone Number	:	737-356-8875
Fax Number	:	210-674-9086

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2011
Last Update Date	:	05/26/2026

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