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

Mr. Chinagandham Srinivisa Bhupathi

Individual provider Orthopaedic Surgery Physician · NPI 1114911963

Mr. Chinagandham Srinivisa Bhupathi is an Orthopaedic Surgery Physician in Staten Island, New York. Licensed in New York. Registered with an NPI since 2005.

Licensed in
NY
In the registry since
2005

Practice location Address checks out

11 Ralph Pl Ste 102
Staten Island, NY 10304-4419
Phone: (718) 447-6545
Fax: (718) 447-5297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 116509 (NY)

Record details

NPI number1114911963
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 8, 2005
Last updated in NPPESJuly 8, 2007

Other providers in Staten Island