IndividualActive
Kanchana Boseroy, MD
NPI 1417910076 · Developmental - Behavioral Pediatrics Physician · Tucson, AZ
Provider details
- NPI number
- 1417910076
- Entity type
- Individual
- Primary specialty
- Developmental - Behavioral Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- License
- 200927 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
2141 N Beverly Ave Ste 101
Tucson, AZ 85712-2155
Phone: (520) 324-6290
Fax: (520) 324-6291
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 31235
Tucson, AZ 85751-1235
Additional practice locations (2)
- 653 N Town Center Dr Ste 112Las Vegas, NV 89144-0515Phone: (702) 733-3098Fax: (702) 733-9751
- 14601 45th AveRm 403Flushing, NY 11355-2200Phone: (718) 670-5213Fax: (718) 321-6004
Registry dates
- Enumerated
- 2006-04-06
- Last updated
- 2023-09-26
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.