Suresh B Boppana
MD | Pediatrics | Male
Suresh B Boppana, MD is a Birmingham, Alabama based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Suresh B Boppana is
1600 7th Ave S, Birmingham, Alabama - 35233-1711. He can be contacted on phone at
205-939-9587 and fax number 205-975-4623.
Suresh B Boppana is a sole proprietor of his business.
NPI number (Unique professional ID) for Suresh B Boppana is
1265429419 which was assigned by NPPES on 03 Oct, 2005 and it was last updated on 18 Jan, 2011.
Suresh B Boppana license number is
MD.15386 for Pediatrics (208000000X) in Alabama.
Suresh B Boppana is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Suresh B Boppana basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Suresh B Boppana |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Suresh B Boppana 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 : | 1600 7th Ave S
Birmingham, AL, 35233-1711
United States |
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| Phone Number : | 205-939-9587 |
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| Fax Number : | 205-975-4623 |
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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 : | 1265429419 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Oct, 2005 |
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| Last Updated On : | 18 Jan, 2011 |
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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 Suresh B Boppana are as mentioned. Primary taxonomy code for Suresh B Boppana, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207P00000X | Emergency Medicine | No | MD.15386 | AL |
| 208000000X | Pediatrics | Yes | MD.15386 | AL |
Legacy Identifiers:
Other legacy medical identifiers of Suresh B Boppana such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 1265429419 | Other | AL | TRICARE SOUTH |
| 009930750 | MEDICAID | AL | |
| 510-95531 | Other | AL | BCBS |
| 510-88303 | Other | AL | BCBS |
| 000088303 | MEDICAID | AL | |
| 009912612 | MEDICAID | AL | |
| 4461381 | Other | AL | AETNA |
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 : | 703 Volker Hl
Birmingham, AL, 35294-0001
United States |
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| Phone Number : | 205-934-3795 |
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Business Location:
Patients can refer following map for directions to
Suresh B Boppana 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.