SAROJINI BOSE MD PA

Provider Demographics

• NPI: 1609066257
• Name: SAROJINI BOSE MD PA
• Entity Type: Organization
• Organization Name: SAROJINI BOSE MD PA
• Other - Org Name: ASHLEY HEALTH
• Other - Org Type: Doing Business As
• Authorized Official - Title/Position: OWNER
• Authorized Official - Prefix: MRS
• Authorized Official - First Name: SAROJINI
• Authorized Official - Middle Name: G
• Authorized Official - Last Name: BOSE
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 956-686-2700
• Mailing Address - Street 1: 801 E NOLANA AVE STE 13A
• Mailing Address - City: MCALLEN
• Mailing Address - State: TX
• Mailing Address - Zip Code: 78504-6112
• Mailing Address - Country: US
• Mailing Address - Phone: 956-686-2700
• Mailing Address - Fax: 956-686-2708
• Practice Address - Street 1: 801 E NOLANA AVE STE 13A
• Practice Address - City: MCALLEN
• Practice Address - State: TX
• Practice Address - Zip Code: 78504-6112
• Practice Address - Country: US
• Practice Address - Phone: 956-686-2700
• Practice Address - Fax: 956-686-2708
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2007-07-30
• Last Update Date: 2024-02-28

Provider Licenses

State	License ID	Taxonomies
TX	L3248	208000000X
		208000000X

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization	Group
Yes	208000000X	Allopathic & Osteopathic Physicians	Pediatrics		Group - Multi-Specialty

Provider Identifiers

State	Identifier ID	ID Type	Issuer
TX	158413803	Medicaid
TX	158413805	Medicaid
TX	148015404	Medicaid
TX	148015413	Medicaid
TX	158413802	Medicaid
TX	203222902	Medicaid
TX	148015412	Medicaid
TX	148015401	Medicaid
TX	158413806	Medicaid
TX	158413807	Medicaid
TX	203222903	Medicaid
TX	217147202	Medicaid
TX	148015403	Medicaid
TX	148015406	Medicaid
TX	148015409	Medicaid
TX	148015414	Medicaid
TX	158413804	Medicaid
TX	148015405	Medicaid
TX	158413801	Medicaid
TX	148015402	Medicaid
TX	148015407	Medicaid
TX	148015408	Medicaid
TX	148015410	Medicaid
TX	148015411	Medicaid
TX	203222901	Medicaid
TX	217147201	Medicaid
TX	203222902	Medicaid