Bodapati, Rao

Bodapati, Rao is an individual health care provider with primary practice located at 1000 Montauk Hwy , West Islip NY 11795-4927. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Bodapati, Rao can be contacted via phone (631) 376-4161.

Contact Information

Primary practice address
1000 Montauk Hwy West Islip NY 11795-4927
Phone: (631) 376-4161
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 164979 New York
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 164979 New York

Profile Details

NPI number 1760482038
LBN Legal business name Bodapati, Rao
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760482038 NPPES
New York MEDICAID 81649979

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