Bodavula MD LLC
NPI #1790183077 in Creve Coeur, Missouri
Provider Information
- NPI Number
- 1790183077
- Entity Type
- Organization
- Organization Name
- Bodavula MD LLC
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Dec 18, 2014
- Last Updated
- Dec 18, 2014
Practice Location
- Address
- 709 TURRENTINE TRL
- City
- Creve Coeur
- State
- Missouri
- ZIP Code
- 63141-6089
- Phone
- (914) 563-2943
Authorized Official
- Name
- DR. VENKATA KR BODAVULA, MD
- Title
- SURGEON
- Phone
- (914) 563-2943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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