Individual ProviderBabu DuddempudiInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address580 5th Ave, Brooklyn, NY 11215-5436(718) 768-8400(516) 626-6519PECOS EnrollmentBased on the most recent information from CMS, provider Babu Duddempudi does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records today at 10:02 AM.Profile DetailsProvider ID1982697868Provider TypeIndividualFull NameDuddempudi, BabuCredentialM.D.GenderMaleSole ProprietorNoEnumeration Date8/26/2005Last Updated7/8/2007Contact InformationPractice LocationPractice Address580 5th Ave, Brooklyn, NY 11215-5436Phone(718) 768-8400Fax(718) 693-3378Mailing LocationMailing Address12 Bass Pond Dr, Old Westbury, NY 11568-1307Phone(516) 626-6519Fax(516) 626-6520Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense135685New YorkProvider IdentifiersIDDescriptionIssuerID01014819DescriptionMedicaidIssuerUnlistedNew York