DR. AMUDHA BOOPATHI (NPI# 1902194376) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902194376 |
| Entity Type | Individual |
| Full Name | DR. AMUDHA BOOPATHI |
| Other Name | AMUDHA PALANIAPPAN |
| Credential | M.D., |
| Practice Address |
30265 Commerce Dr Millsboro DE 19966-3593 |
| Mailing Address |
Po Box 191 Rockland DE 19732-0191 |
| Practice Telephone | 3026295050 |
| Practice Fax Number | 3026295053 |
| Mailing Fax Number | 3026514945 |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2020-02-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | C1-0011009 | DE | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | C10011009 | DE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PA | 103448773 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21444 Carmean Way, Georgetown, DE 19947 | 3028551233 | 3028552025 |
| Street Address |
30265 COMMERCE DR |
| City | MILLSBORO |
| State | DE |
| Zip Code | 19966-3593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215934245 | Harry A Lehman IIi | Pediatrics | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2005-07-05 |
| 1598148231 | Sabina Bonfadini | Nurse Practitioner | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2015-06-30 |
| 1942688197 | Peninsula Regional Rehabilitation, LLC | Physical Therapist | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2015-05-08 |
| 1861887341 | Thomas Mclean | Pharmacist | 30265 Commerce Dr, Suite 106a, Millsboro, DE 19966-3593 | 2015-04-01 |
| 1821492745 | Peninsula Regional Medical Center | Pharmacy | 30265 Commerce Dr, Suite 106 A, Millsboro, DE 19966-3593 | 2014-10-21 |
| 1902207681 | Joseph Zimmerman | Physical Therapy Assistant | 30265 Commerce Dr, Millsboro, DE 19966-3593 | 2014-09-12 |
| 1689085847 | Peninsula-nrh Regional Rehabilitation | Clinic/Center | 30265 Commerce Dr, Suite 105, Millsboro, DE 19966-3593 | 2014-05-09 |
| 1861836330 | Peninsula Regional Medical Center | General Acute Care Hospital | 30265 Commerce Dr, Delmarva Health Pavilion, Millsboro, DE 19966-3593 | 2013-04-26 |
| 1841464054 | Sareen Christine Barbouletos | Internal Medicine | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2008-04-17 |
| 1932239381 | Melinda Ricker | Physician Assistant | 30265 Commerce Dr, Suite 207, Millsboro, DE 19966-3593 | 2007-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376178459 | Ashkan Ashkani | Physical Therapist | Back Bay Area Park Center, 26396 Bay Farm Rd, Unit #1, Millsbro, DE 19966 | 2020-03-09 |
| 1962053330 | Ryan P Tezak | Physical Therapist | 30166 Commerce Dr, Millsboro, DE 19966 | 2019-09-26 |
| 1598222390 | Benchmark Physical Therapy of Delaware LLC | Occupational Therapist | 30166 Commerce Drive, Millsboro, DE 19966 | 2019-02-27 |
| 1285106591 | Coastal Counseling | Clinic/Center | 5 Chelsea Square, Millsboro, DE 19966 | 2018-12-27 |
| 1780165175 | La Red Health Center, Inc. | Clinic/Center | 26089 Long Neck Road, Millsboro, DE 19966 | 2018-08-24 |
| 1740774215 | Melissa Alyanna Gorospe Lasig | Physical Therapist | 2315 Washington Street, Millsboro, DE 19966 | 2018-06-19 |
| 1205344728 | Rehabilitation Consultants, Inc. | Clinic/Center | 36932 Silicato Drive, Suite 5, Millsboro, DE 19966 | 2018-01-18 |
| 1073044095 | Swapna Bhupathi | Physical Therapist | Atlantic Shore Rehab and Health Center, 231 S Washington Street, Millsboro, DE 19966 | 2017-03-22 |
| 1447618178 | Ashley Deering | Physical Therapy Assistant | 20383 Charlotte Blvd, Millsboro, DE 19966 | 2016-02-09 |
| 1073971537 | Jennifer Noonan | Registered Nurse | 34141 Minnow Lane, Long Neck, DE 19966 | 2016-01-29 |
| Find all providers in zip 19966 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
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| 1477166270 | Integrative Physical Health LLC | General Practice | 3105 Limestone Rd Ste 303, Wilmington, DE 19808-2156 | 2020-08-31 |
| 1043841620 | Mark Ndugo Keigi | General Practice | 2821 Squirrel Dr, Bear, DE 19701-2765 | 2020-01-31 |
| 1811544174 | Greenhill Health Consulting LLC | General Practice | 2500 W 4th St Ste 1a, Wilmington, DE 19805-3367 | 2019-08-21 |
| 1013447630 | Brian Thomas Sweeney | General Practice | 50 Julie Lane, Newark, DE 19711 | 2017-06-15 |
| 1770946600 | Sidney Edward Croul | General Practice | 247 Bay Ave, Milford, DE 19963-4909 | 2016-03-29 |
| 1841678869 | Medeval, Corp. | General Practice | 9 Germay Dr, Wilmington, DE 19804-1155 | 2015-05-11 |
| 1376962936 | Jorge Jara Kudin | General Practice | 701 N Clayton St Ste 400, Wilmington, DE 19805-3165 | 2014-04-10 |
| 1487085692 | Donald Ryan Lewis Sr. | General Practice | 110 Westside Drive, Rehoboth Beach, DE 19971 | 2013-12-13 |
| 1093159220 | Healthworks Med Group of Delaware P A | General Practice | 1800 Concord Pike Foc Sw1, Wilmington, DE 19897-0001 | 2013-04-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.