DR. SRIKANTH REDDY BODDU M.S; MRCS; FRCR; MD NPI 1225393416

NPI Information

NPI: 1225393416
Provider Name: DR. SRIKANTH REDDY BODDU, M.S; MRCS; FRCR; MD
Classification: Radiology - 2085R0204X
Entity Type: Individual

Specialization: Vascular & Interventional Radiology

Organization: WEILL MEDICAL COLLEGE OF CORNELL

PECOS Registration: Yes

Address:
5645 MAIN ST
FLUSHING, NY
ZIP 11355
Phone: (718) 670-2000
Get Directions

DR. Srikanth Reddy Boddu, M.S; MRCS; FRCR; MD is a vascular and interventional radiology radiology in Flushing, NY with 21 years of experience. The provider is a radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. DR. Srikanth Reddy Boddu, M.S; MRCS; FRCR; MD NPI is 1225393416. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

5645 MAIN ST
FLUSHING, NY
ZIP 11355-045
Phone: (718) 670-2000

The NPI 1225393416 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/12/2012 and was last updated on 2/5/2018.

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	2085R0204X	Radiology	Vascular & Interventional Radiology	274778	NEW YORK	Yes

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

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