Individual
SATHYAPRASAD C BURJONRAPPA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
125 PATERSON ST STE 3300, NEW BRUNSWICK, NJ 08901-1962
(732) 235-7821
Mailing address
PO BOX 829642, PHILADELPHIA, PA 19182-9642
(866) 470-6626
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
25MA08821500
NJ
2086S0120X
Pediatric Surgery Physician
253600
NY
2086S0120X
Pediatric Surgery Physician
Primary
25MA08821500
NJ
2086S0120X
Pediatric Surgery Physician
C169195
CA
2086S0120X
Pediatric Surgery Physician
ME136023
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100539000
—
FL
01
—
NE0W8
BLUE CROSS BLUE SHIELD
FL
Enumeration date
09/05/2006
Last updated
07/23/2021
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