Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kishanrao Bogavelli, MD

Individual provider Emergency Medicine Physician · NPI 1538371745

Kishanrao Bogavelli, MD is an Emergency Medicine Physician in Paterson, New Jersey. Licensed in New Jersey. Registered with an NPI since 2007.

Licensed in
NJ
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

680 Broadway
Paterson, NJ 07514-1422
Phone: (973) 977-6603
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MA44068 (NJ)

Record details

NPI number1538371745
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2007
Last updated in NPPESJuly 8, 2007

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