Manoranjan Boddapati in Shreveport - Hematology & Oncology

Manoranjan Boddapati - NPI 1134147689

Manoranjan Boddapati is a Hematology & Oncology in Shreveport, Louisiana. Manoranjan Boddapati practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Manoranjan Boddapati is 1134147689. The last update date is 2007-07-08.

Manoranjan Boddapati's current location address is 510 E Stoner Ave, Shreveport, Louisiana. You can contact this provider via phone number 3184246064 and fax number 3184246179. The mailing address for Manoranjan Boddapati is 510 E Stoner Ave, Shreveport, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Name Manoranjan Boddapati
Address 510 E Stoner Ave, Shreveport, Louisiana
Phone Number 3184246064
Fax Number 3184246179
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1134147689
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 510 E Stoner Ave
City Shreveport
State Louisiana (LA)
Post Code 711014243
Phone Number 3184246064
Fax Number 3184246179

Provider's Primary Taxonomy Detail

Speciality Hematology & Oncology
Taxonomy 207Rh0003X
Licence No 15337R
Definition:
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1174548 LA --

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FAQs about Manoranjan Boddapati

What is the unique identifier code issued to Manoranjan Boddapati by the Centers for Medicare & Medicaid Services?

The Manoranjan Boddapati has been assigned the NPI (National Provider Identifier) 1134147689. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Manoranjan Boddapati is physically located?

The Manoranjan Boddapati is situated at the following address: 510 E Stoner Ave, Shreveport, LA 711014243.

What is the area of specialization for Manoranjan Boddapati, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Manoranjan Boddapati is Hematology & Oncology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rh0003X.

On what date did the Manoranjan Boddapati receive the assignment of its 1134147689 from the Centers for Medicare & Medicaid Services?

The Manoranjan Boddapati was issued its 1134147689 by the Centers for Medicare & Medicaid Services on 2006-07-17.

When was the information related to Manoranjan Boddapati most recently updated or refreshed?

The details pertaining to the Manoranjan Boddapati, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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