Bodavula Pediatrics Pllc
Pediatrics
Bodavula Pediatrics Pllc is a Garland, Texas based Pediatric center with medical specialization in
General Pediatrics.
It is located at
6448 Broadway Blvd, Garland, Texas - 75043-7504. They can be contacted on phone at
972-216-8500 and fax number 972-216-8521.
NPI number (Unique professional ID) for Bodavula Pediatrics Pllc is
1366008294 which was assigned by NPPES on 16 May, 2019 and it was last updated on 05 Aug, 2021.
Bodavula Pediatrics Pllc is a pediatrician who 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.
Complete Profile:
Bodavula Pediatrics Pllc basic information including their official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Bodavula Pediatrics Pllc |
|---|
Business Address:
Bodavula Pediatrics Pllc address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 6448 Broadway Blvd
Garland, TX, 75043-7504
United States |
|---|
| Phone Number : | 972-216-8500 |
|---|
| Fax Number : | 972-216-8521 |
|---|
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1366008294 |
|---|
| NPI Entity Type : | Organization |
|---|
| First Enrolment Date : | 16 May, 2019 |
|---|
| Last Updated On : | 05 Aug, 2021 |
|---|
Authorized Official Details:
Officially authorized person to contact for any management issues or complaints of this organization are as below. Person's position and contact details are as mentioned below.
| Authorized Official Name : | Phani Bodavula |
|---|
| Authorized Official Credential : | MD |
|---|
| Official Title or Position : | OWNER |
|---|
| Phone Number : | 314-620-5823 |
|---|
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Bodavula Pediatrics Pllc are as mentioned. Primary taxonomy code for Bodavula Pediatrics Pllc is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | | |
Legacy Identifiers:
Other legacy medical identifiers of Bodavula Pediatrics Pllc such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 32070567899 | MEDICAID | TX | |
| 32070567899 | Other | TX | TEXAS PAYER NO |
Endpoints:
Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).
| Endpoint Type | Endpoint | Affiliation | Use | Content | Address |
|---|
CONNECT
(CONNECT URL) | PHANIBODAVULA5@GMAIL.COM
EMAIL ADDRESS | No affiliation | DIRECT
Direct
| OTHER
Other
EMAIL | 4925 MARCUS AVE APT 3114,
ADDISON, TX, 75001-6183
United States |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 6448 Broadway Blvd
Garland, TX, 75043-5943
United States |
|---|
| Phone Number : | 972-216-8500 |
|---|
| Fax Number : | 972-216-8521 |
|---|
Business Location:
Patients can refer following map for directions to
Bodavula Pediatrics Pllc practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.