Individual
BOBBY SE
Active
Individual
BOBBY SE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35104
MS
207RH0003X
Hematology & Oncology Physician
35104
MS
390200000X
Student in an Organized Health Care Education/Training Program
0116036429
VA
Other
Enumeration date
06/13/2022
Last updated
08/24/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up