Dr. Phani Bodavula
M.D. | Pediatrics | Male
Dr. Phani Bodavula, M.D. is a Garland, Texas based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Phani Bodavula is
6448 Broadway Blvd, Garland, Texas - 75043. He can be contacted on phone at
972-216-8500 and fax number 972-216-8521.
Dr. Phani Bodavula is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Phani Bodavula is
1700204690 which was assigned by NPPES on 28 Mar, 2014 and it was last updated on 21 Jul, 2022.
Dr. Phani Bodavula license number is
R5085 for Pediatrics (208000000X) in Texas.
Dr. Phani Bodavula 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:
Dr. Phani Bodavula basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Dr. Phani Bodavula |
|---|
| Credential : | M.D. |
|---|
| Gender : | Male |
|---|
Business Address:
Dr. Phani Bodavula 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
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 : | 1700204690 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 28 Mar, 2014 |
|---|
| Last Updated On : | 21 Jul, 2022 |
|---|
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 Dr. Phani Bodavula are as mentioned. Primary taxonomy code for Dr. Phani Bodavula, M.D. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | No | 67368 | WI |
| 208000000X | Pediatrics | Yes | R5085 | TX |
Other Practice Locations:
| Practice Address | City, State | Phone Number |
|---|
3821 SPRING ST,
MOUNT PLEASANT, WI, 53405
United States | MOUNT PLEASANT, WI | 262-687-3333 |
3801 SPRING ST,
MOUNT PLEASANT, WI, 53405-1667
United States | MOUNT PLEASANT, WI | 262-687-4258 |
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
Dr. Phani Bodavula practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.