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VASUDEVA REDDY BOOSUPALLI MD PA NPI 1902907512


NPI Information

NPI: 1902907512
Provider Name: VASUDEVA REDDY BOOSUPALLI MD PA

Doing Business As: BAY AREA CHILD NEUROLOGY

Classification: Psychiatry & Neurology - 2084N0402X
Entity Type: Organization

Specialization: Neurology with Special Qualifications in Child Neurology

Address:
131 W TEXAS AVE
WEBSTER, TX
ZIP 77598
Phone: (281) 481-0002
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VASUDEVA REDDY BOOSUPALLI MD PA is a neurology with special qualifications in child neurology psychiatry neurology in Webster, TX. The provider is a Child Neurologist specializes in neurology with special skills in diagnosis and treatment of neurologic disorders of the neonatal period, infancy, early childhood, and adolescence. VASUDEVA REDDY BOOSUPALLI MD PA NPI is 1902907512. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bay Area Child Neurology.

The provider's business location address is:

131 W TEXAS AVE
WEBSTER, TX
ZIP 77598-203
Phone: (281) 481-0002
Fax: (281) 481-0007

The provider's authorized official is Vasudeva Reddy Boosupalli .
The authorized official title is President and has the following contact phone number (281) 481-0002.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 12/1/2016.


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
12084N0402XPsychiatry & NeurologyNeurology with Special Qualifications in Child NeurologyM3475TEXASYes

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: 5/5/2024

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