National Provider Identifier

Sreenand Boddu

Sreenand Boddu is listed in the NPPES registry with a primary specialty of Student in an Organized Health Care Education/Training Program in Rochester, NY and a listed phone number of (585) 922-4000.

NPI 1669050100Rochester, NYStudent in an Organized Health Care Education/Training Program

Profile Overview

NPI
1669050100
Provider Type
Individual
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
March 29, 2021
Last Updated
July 07, 2022

Practice Location

  • 1425 Portland Ave
  • Rochester, NY 14621-3011

Phone: (585) 922-4000

Specialties

  • Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
NPI
1669050100
Entity Type
Individual
Last Name
Boddu
First Name
Sreenand
Mailing Street Address
1425 Portland Ave
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14621-3011
Mailing Country
US
Practice Street Address
1425 Portland Ave
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14621-3011
Practice Country
US
Practice Phone
(585) 922-4000
Enumeration Date
March 29, 2021
Last Updated
July 07, 2022
Sex
Male
Sole Proprietor
No
Certification Date
July 07, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Student in an Organized Health Care Education/Training Program (390200000X)