Bommaraju, Mahesh

Bommaraju, Mahesh is an individual health care provider with primary practice located at 1540 Maple Rd , Williamsville NY 14221-3647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine, which is considered as his primary health care specialty. Bommaraju, Mahesh can be contacted via phone (716) 878-7662.

Contact Information

Primary practice address
1540 Maple Rd Williamsville NY 14221-3647
Phone: (716) 878-7662
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 190900 New York

Profile Details

NPI number 1457328114
LBN Legal business name Bommaraju, Mahesh
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jan 11th, 2010 - about 14 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 1457328114 NPPES
Other 000523290004 BC/BS
Other 3610082 BC/BS
Other 00010018901 BC/BS
Other 040426000926 BC/BS
MEDICAID 01564185 BC/BS

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