Organization Active NPI

Baburao Doddapaneni MD PC

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
National Provider Identifier
1720203565
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
161503 Issued in NY
Legal business name
BABURAO DODDAPANENI MD PC
Practice address
3626 Main St
Ste 3X
Flushing, NY 11354-4274
Phone
(718) 358-2135
Fax
(718) 886-8097
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Mr. Baburao Doddapaneni, MDNPI 1871535179
Title
Sole Proprietor
Phone
(718) 499-4995

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X 161503 NY Primary

Addresses

Primary practice location

3626 Main St
Ste 3X
Flushing, NY 11354-4274

Mailing address

4 Unadilla PL
Greenlawn, NY 11740-3010
Phone (718) 499-4995

National Provider Directory

National Provider Directory

Locations

3626 Main St
Ste 3X
Flushing, NY 11354
Phone (718) 358-2135

3640 Main St
Flushing, NY 11354
Phone (718) 358-2135

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1720203565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 UNADILLA PL",
            "city": "GREENLAWN",
            "state": "NY",
            "postal_code": "117403010",
            "telephone_number": "718-499-4995",
            "fax_number": "718-897-7330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3626 MAIN ST",
            "address_2": "STE 3X",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113544274",
            "telephone_number": "718-358-2135",
            "fax_number": "718-886-8097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BABURAO DODDAPANENI MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "DODDAPANENI",
        "authorized_official_first_name": "BABURAO",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "718-499-4995",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "161503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 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.