Mahesh Bommaraju
MD | Pediatric Neonatal-Perinatal Medicine | Male
Mahesh Bommaraju, MD is a Williamsville, New York based Pediatric doctor with medical specialization in
Pediatric Neonatal-Perinatal Medicine.
Current practice location of Mahesh Bommaraju is
1540 Maple Rd, Williamsville, New York - 14221-3647. He can be contacted on phone at
716-878-7662.
Mahesh Bommaraju is a sole proprietor of his business.
NPI number (Unique professional ID) for Mahesh Bommaraju is
1457328114 which was assigned by NPPES on 02 Mar, 2006 and it was last updated on 11 Jan, 2010.
Mahesh Bommaraju license number is
190900 for Pediatrics Neonatal-Perinatal Medicine (2080N0001X) in New York.
Mahesh Bommaraju is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Complete Profile:
Mahesh Bommaraju basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Neonatal-Perinatal Medicine |
|---|
| Provider Name : | Mahesh Bommaraju |
|---|
| Credential : | MD |
|---|
| Gender : | Male |
|---|
Business Address:
Mahesh Bommaraju address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1540 Maple Rd
Williamsville, NY, 14221-3647
United States |
|---|
| Phone Number : | 716-878-7662 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1457328114 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 02 Mar, 2006 |
|---|
| Last Updated On : | 11 Jan, 2010 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mahesh Bommaraju are as mentioned. Primary taxonomy code for Mahesh Bommaraju, MD is
2080N0001X (Pediatrics Neonatal-Perinatal Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 2080N0001X | Pediatrics Neonatal-Perinatal Medicine | Yes | 190900 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Mahesh Bommaraju such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 01564185 | MEDICAID | NY | |
| 00010018901 | Other | | UNIVERA |
| 040426000926 | Other | | FIDELIS |
| 3610082 | Other | | IHA |
| 000523290004 | Other | | BC/BS |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 219 Bryant St
Buffalo, NY, 14222-2006
United States |
|---|
| Phone Number : | 716-878-7673 |
|---|
| Fax Number : | 716-878-7945 |
|---|
Business Location:
Patients can refer following map for directions to
Mahesh Bommaraju practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.