National Provider Identifier
Mahesh Bommaraju, MD
Mahesh Bommaraju, MD is listed in the NPPES registry with a primary specialty of Neonatal-Perinatal Medicine Physician in Williamsville, NY and a listed phone number of (716) 878-7662.
Profile Overview
- NPI
- 1457328114
- Provider Type
- Individual
- Primary Specialty
- Neonatal-Perinatal Medicine Physician
- Enumeration Date
- March 02, 2006
- Last Updated
- January 11, 2010
Practice Location
- 1540 Maple RD
- Williamsville, NY 14221-3647
Phone: (716) 878-7662
Mailing Address
- 219 Bryant St
- Buffalo, NY 14222-2006
Specialties
- Neonatal-Perinatal Medicine Physician (2080N0001X)
Full Record
- NPI
- 1457328114
- Entity Type
- Individual
- Last Name
- Bommaraju
- First Name
- Mahesh
- Credential
- MD
- Mailing Street Address
- 219 Bryant St
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14222-2006
- Mailing Country
- US
- Mailing Phone
- (716) 878-7673
- Mailing Fax
- (716) 878-7945
- Practice Street Address
- 1540 Maple RD
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-3647
- Practice Country
- US
- Practice Phone
- (716) 878-7662
- Enumeration Date
- March 02, 2006
- Last Updated
- January 11, 2010
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Neonatal-Perinatal Medicine Physician (2080N0001X)
- Other Identifiers
- 000523290004 (Bc/Bs), 3610082 (Iha), 00010018901 (Univera), 040426000926 (Fidelis), 01564185 (NY)