# BABURAO DODDAPANENI MD PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720203565
- **Authorized official:** MR. BABURAO DODDAPANENI MD (SOLE PROPRIETOR)
- **Authorized official phone:** (718) 499-4995

## Contact information

- **Practice address:** 3626 MAIN ST, STE 3X, FLUSHING, NY 11354-4274
- **Practice address phone:** (718) 358-2135
- **Practice address fax:** (718) 886-8097
- **Mailing address:** 4 UNADILLA PL, GREENLAWN, NY 11740-3010
- **Mailing address phone:** (718) 499-4995
- **Mailing address fax:** (718) 897-7330

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | 161503 | NY | Yes |

## Other

- **Enumeration date:** 04/16/2007
- **Last updated:** 02/09/2011