Dr Prasada Rao Boppana, MD is a
Internal Medicine physician based in Whitman, West Virginia. Dr Prasada Rao Boppana is licensed to practice in West Virginia (license number 12404) and his current practice location is 119 Holden Rd, Whitman, West Virginia. He can be reached at his office (for appointments etc.) via phone at
(304) 239-2356.
NPI number for Dr Prasada Rao Boppana is 1588761191 and his current mailing address is 119 Holden Rd, Po Box P, Whitman, West Virginia. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588761191.
Physician's Profile
| Full Name | Dr Prasada Rao Boppana |
|---|
| Gender | Male |
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| Speciality | Internal Medicine |
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| Location | 119 Holden Rd, Whitman, West Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588761191
- Provider Enumeration Date: 09/19/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Prasada Rao Boppana such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588761191 | NPI | - | NPPES |
| 0083759000 | Medicaid | WV | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 207R00000X | Internal Medicine | 12404 (West Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Prasada Rao Boppana is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Prasada Rao Boppana, MD
119 Holden Rd, Po Box P,
Whitman, WV 25652-0580
Ph: (304) 239-2356 | Dr Prasada Rao Boppana, MD
119 Holden Rd,
Whitman, WV 25652-0580
Ph: (304) 239-2356 |
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