Organization
BABURAO DODDAPANENI MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BABURAO DODDAPANENI MD (SOLE PROPRIETOR)
(718) 499-4995
Entity
Organization
Contact information
Practice address
3626 MAIN ST, STE 3X, FLUSHING, NY 11354-4274
(718) 358-2135
(718) 886-8097
Mailing address
4 UNADILLA PL, GREENLAWN, NY 11740-3010
(718) 499-4995
(718) 897-7330
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
161503
NY
Other
Enumeration date
04/16/2007
Last updated
02/09/2011
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