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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

MADHAVA SASANK BOPPANA
NPI 1427973288
Student in an Organized Health Care Education/Training Program in Florence, SC

Active since August 11, 2026
805 PAMPLICO HWY, FLORENCE, SC 29505(843) 674-2629 Get Directions Write a Review

NPPES record added: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Madhava Sasank Boppana NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADHAVA SASANK BOPPANA (NPI 1427973288) is an individual student in an organized health care education/training program in Florence, South Carolina and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1427973288
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMADHAVA SASANK BOPPANA
Location Address805 PAMPLICO HWYFlorence, SC 29505-6019
Mailing Address2368 Freedom Blvd Apt B7Florence, SC 29505-6187 · (843) 610-0166
Phone(843) 674-2629
Sole ProprietorNo
Enumeration DateAugust 11, 2026
NPPES CertifiedAugust 11, 2026
✔ NPI 1427973288 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
805 PAMPLICO HWY, Florence, SC 29505
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA GAIL MEADOWS NP
Nurse Practitioner (Family)
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 674-5000
SUSANNAH GRAHAM PA-C
Physician Assistant
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 792-1414
DR. BRIAN THOMAS TREZAK MD
Internal Medicine
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 792-1414
SELENE R FORRESTALL CRNA
Nurse Anesthetist, Certified Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 792-1414
MISS CHRISTIE ELLEN BLAIR RD, LD
Dietitian, Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 674-2051
MS. JANET BENNETT CNP
Nurse Practitioner (Acute Care)
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 674-2500
FNU ZEESHA
Student in an Organized Health Care Education/Training Program
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 792-1414
CATHY J SHEEHY RN
Nurse Anesthetist, Certified Registered
805 PAMPLICO HWY
FLORENCE, SC 29505
Florence County (843) 674-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madhava Sasank Boppana's NPI number?

The NPI number for Madhava Sasank Boppana is 1427973288. It was assigned to this individual provider in the NPPES registry on August 11, 2026.

Where is Madhava Sasank Boppana located?

Madhava Sasank Boppana practices at 805 Pamplico Hwy, Florence, SC 29505. The listed phone number is (843) 674-2629.

What is Madhava Sasank Boppana's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Madhava Sasank Boppana was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.