Individual
KUCHIPUDI BAPINEEDU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15-01 BROADWAY, STE 22, FAIR LAWN, NJ 07410
(201) 796-4848
(201) 797-7992
Mailing address
15-01 BROADWAY, STE 22, FAIR LAWN, NJ 07410
(201) 796-4848
(201) 797-7992
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
34591
NJ
208600000X
Surgery Physician
Primary
34591
NJ
2086S0129X
Vascular Surgery Physician
34591
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3723500
—
NJ
Enumeration date
05/01/2006
Last updated
03/30/2017
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