Dr Madhu Babu Boppana, MD | |
80th St & 41st Ave, Elmhurst, NY 11373-1329 | |
(718) 334-5970 | |
(718) 334-5958 |
Full Name | Dr Madhu Babu Boppana |
---|---|
Gender | Male |
Speciality | Psychiatry & Neurology - Neurology |
Location | 80th St & 41st Ave, Elmhurst, New York |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245306000 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 199052 (New York) | Primary |
Entity Name | Integrated Diagnostic Imaging & Cardiology Of Staten Island P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1174537948 PECOS PAC ID: 3577577451 Enrollment ID: O20060131000079 |
Mailing Address | Practice Location Address |
---|---|
Dr Madhu Babu Boppana, MD 79-01 Broadway, Managed Care, D1-01, Elmhurst, NY 11373-1329 Ph: (718) 334-1921 | Dr Madhu Babu Boppana, MD 80th St & 41st Ave, Elmhurst, NY 11373-1329 Ph: (718) 334-5970 |
Dr. Martin Holiday Maurer, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958 | |
Dipak Nandi, Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 4142 Elbertson St, 102, Elmhurst, NY 11373 Phone: 718-505-1300 Fax: 718-505-1883 | |
David Yohai, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway, Room A1 9, Elmhurst, NY 11373 Phone: 718-334-4952 Fax: 718-334-4815 | |
Dr. Anthony Chih Duong, MD Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-344-3512 Fax: 718-334-5006 | |
Dr. Charles Thomas Barron, Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958 | |
Emmanuelle J Duterte, M.D. Psychiatry & Neurology Medicare: Medicare Enrolled Practice Location: 7901 Broadway # D10-38, Elmhurst, NY 11373 Phone: 718-334-3501 Fax: 718-334-5006 | |
Dr. Anna J Holmgren, MD Psychiatry & Neurology Medicare: Not Enrolled in Medicare Practice Location: 80th St & 41st Ave, Elmhurst, NY 11373 Phone: 718-334-3900 Fax: 718-334-5958 |