DR. AMUDHA BOOPATHI M.D. NPI 1902194376

NPI Information

NPI: 1902194376
Provider Name: DR. AMUDHA BOOPATHI, M.D.,
Classification: General Practice - 208D00000X
Entity Type: Individual
Address:
30265 COMMERCE DR
MILLSBORO, DE
ZIP 19966
Phone: (302) 629-5050
Get Directions

DR. Amudha Boopathi, M.D., is a general practice in Millsboro, DE. DR. Amudha Boopathi, M.D., NPI is 1902194376. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

30265 COMMERCE DR
MILLSBORO, DE
ZIP 19966-593
Phone: (302) 629-5050
Fax: (302) 629-5053

The enumeration date for this NPI number is 7/19/2011 and was last updated on 2/21/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208D00000X	General Practice		C10011009	DELAWARE	Yes
2	208000000X	Pediatrics		C1-0011009	DELAWARE	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	103448773	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »