Individual
SURESH B BOPPANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9587
(205) 975-4623
Mailing address
703 VOLKER HL, BIRMINGHAM, AL 35294-0001
(205) 934-3795
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
MD.15386
AL
208000000X
Pediatrics Physician
Primary
MD.15386
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000088303
—
AL
05
—
009912612
—
AL
05
—
009930750
—
AL
01
—
1265429419
TRICARE SOUTH
AL
01
—
4461381
AETNA
AL
01
—
510-88303
BCBS
AL
01
—
510-95531
BCBS
AL
Enumeration date
10/03/2005
Last updated
01/18/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us