Meera S. Boppana,md.pc

NPI #1679745533 in Ozone Park, New York

Provider Information

NPI Number: 1679745533
Entity Type: Organization
Organization Name: Meera S. Boppana,md.pc
Primary Specialty: Family Medicine
Enumeration Date: Mar 31, 2008
Last Updated: Jan 3, 2011

Practice Location

Address: 10415 101ST AVE
City: Ozone Park
State: New York
ZIP Code: 11416-2702
Phone: (718) 441-0660

Authorized Official

Name: DR. MEERA S BOPPANA, M.D.
Title: PRESIDENT
Phone: (718) 441-0660

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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