Babu S Bangaru MD PC

Primary specialty

Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X

License

128235 Issued in NY

Legal business name

BABU S BANGARU MD PC

Practice address

9422 59TH Ave Ste E-1
Elmhurst, NY 11373-5151

Phone

(718) 592-7797

Fax

(718) 685-2777

NPI assigned

Oct 17, 2006

Last updated

Dec 22, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Babu S Bangaru, M.D.NPI 1457546582

Title

Owner

Phone

(718) 592-7797

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Babu S Bangaru, M.D.

  • Pediatric Gastroenterology Physician
  • Loma Linda, CA
  • NPI 1457546582
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324512000000",
    "number": "1649350315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9422 59TH AVE STE E-1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-592-7797",
            "fax_number": "718-685-2777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9422 59TH AVE STE E-1",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "718-592-7797",
            "fax_number": "718-685-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABU S BANGARU MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2011-12-22",
        "status": "A",
        "authorized_official_last_name": "BANGARU",
        "authorized_official_first_name": "BABU",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-592-7797",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NY",
            "license": "128235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tazmin Aziz, CNM
• Yana Bababekova, PA-C
• Stella Babakhanova
• Oksana Babayev, M.A.,CCC-SLP/TSSLD
• Nicole Babayeva
• Olga Badalova
• Renee Badami, PSY.D.
• Mostafa Fafkri Badawi, DPT
• Nistha Bade Shrestha, LMSW
• Byung Chan Bae, RN

• Pediatric Gastroenterology Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Pediatric Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.