Individual
DR. BABU DODDAPANENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5330 E STOP 11 RD, INDIANAPOLIS, IN 46237-6345
(317) 893-1900
(317) 893-1901
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01062450A
IN
207RC0000X
Cardiovascular Disease Physician
Primary
01062450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200854550A
—
IN
Enumeration date
03/29/2006
Last updated
05/22/2023
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