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BODAVULA PEDIATRICS PLLC NPI 1366008294


NPI Information

NPI: 1366008294
Provider Name: BODAVULA PEDIATRICS PLLC
Classification: Pediatrics - 208000000X
Entity Type: Organization
Address:
6448 BROADWAY BLVD
GARLAND, TX
ZIP 75043
Phone: (972) 216-8500
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BODAVULA PEDIATRICS PLLC is a pediatrics in Garland, TX. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. BODAVULA PEDIATRICS PLLC NPI is 1366008294. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6448 BROADWAY BLVD
GARLAND, TX
ZIP 75043-504
Phone: (972) 216-8500
Fax: (972) 216-8521

The provider's authorized official is Phani Bodavula .
The authorized official title is Owner and has the following contact phone number (314) 620-5823.

The enumeration date for this NPI number is 5/16/2019 and was last updated on 8/5/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208000000XPediatricsYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
132070567899MEDICAIDTEXAS
232070567899OTHERTEXASTEXAS PAYER NO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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