Provider Demographics
NPI:1073074548
Name:DOPPALAPUDI, SAI KRISHNARAYA (MD)
Entity type:Individual
Prefix:DR
First Name:SAI KRISHNARAYA
Middle Name:
Last Name:DOPPALAPUDI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KRISHNA
Other - Middle Name:
Other - Last Name:DOPPALAPUDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:331 NEWMAN SPRINGS RD STE 220
Mailing Address - Street 2:
Mailing Address - City:RED BANK
Mailing Address - State:NJ
Mailing Address - Zip Code:07701-5792
Mailing Address - Country:US
Mailing Address - Phone:732-807-0877
Mailing Address - Fax:201-751-1680
Practice Address - Street 1:360 ESSEX ST STE 403
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-8566
Practice Address - Country:US
Practice Address - Phone:551-996-8090
Practice Address - Fax:551-996-8221
Is Sole Proprietor?:No
Enumeration Date:2019-03-27
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA12066700208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology