Boppana, Meera S
Boppana, Meera S is an individual health care provider with primary practice located at 104 15 101St Ave , Ozone Park NY 11416. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boppana, Meera S can be contacted via phone (718) 441-0660.Contact Information
Primary practice address
104 15 101St Ave
Ozone Park NY 11416
Phone: (718) 441-0660
Fax: (718) 847-1538
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 175209 | New York |
Profile Details
| NPI number | 1023088325 |
|---|---|
| LBN Legal business name | Boppana, Meera S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 26th, 2006 |
| Last updated | Jan 3rd, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1023088325 | NPPES |
| New York | MEDICAID | 01305908 |
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