Individual
DR. BABU S BANGARU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11175 CAMPUS STREET, COLEMAN PAVILION SUITE # A1120, LOMA LINDA, CA 92354-9235
(909) 558-4773
(909) 558-0479
Mailing address
9422 59TH AVE, ELMHURST, NY 11373-5151
(718) 592-7797
(718) 685-2777
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
Primary
128235
NY
Other
Enumeration date
09/12/2007
Last updated
12/18/2020
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