Boopathi, Amudha

Boopathi, Amudha is an individual health care provider with primary practice located at 30265 Commerce Dr , Millsboro DE 19966-3593. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / General Practice, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / General Practice is her primary health care specialty. Boopathi, Amudha can be contacted via phone (302) 629-5050.

Contact Information

Primary practice address
30265 Commerce Dr Millsboro DE 19966-3593
Phone: (302) 629-5050
Fax: (302) 629-5053
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / General Practice 208D00000X C10011009 Delaware
Allopathic & Osteopathic Physicians / Pediatrics 208000000X C1-0011009 Delaware

Profile Details

NPI number 1902194376
LBN Legal business name Boopathi, Amudha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2011
Last updated Feb 21st, 2020 - about 5 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 1902194376 NPPES
Pennsylvania MEDICAID 103448773

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