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Organization
MEERA S. BOPPANA,MD.PC
Active
Organization
MEERA S. BOPPANA,MD.PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEERA S BOPPANA M.D. (PRESIDENT)
(718) 441-0660
Entity
Organization
Contact information
Practice address
10415 101ST AVE, OZONE PARK, NY 11416-2702
(718) 441-0660
(718) 847-1538
Mailing address
150-38 UNION TURNPIKE, #12E, FLUSHING, NY 11367-2702
(718) 441-0660
(718) 847-1538
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
175209
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01305908
—
NY
Enumeration date
03/31/2008
Last updated
01/03/2011
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