Individual
MR. VINOD BOPAIAH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SEAVIEW AVENUE, STATEN ISLAND, NY 10305
(718) 351-0199
(718) 667-4225
Mailing address
400 SEAVIEW AVENUE, STATEN ISLAND, NY 10305
(718) 351-0199
(718) 667-4225
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
135378
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626182
—
NY
Enumeration date
03/01/2006
Last updated
07/08/2007
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