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Contact Information

KRYSTINA BODALIA, MD
6939 COX RD STE 360
LIBERTY TOWNSHIP, OH45069
 Phone: 513-564-6800
 Fax: 513-564-6815
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for KRYSTINA BODALIA · (Female)

NPI Number 1417337007
Status Active
Credentials MD
Entity Individual
Enumeration date 06/09/2015
Last updated 10/30/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • OH License # 35.134653
  • KY Medicaid 7100550300
  • OH Medicaid 0305000
Hospital affiliation(s)
  • CHRIST HOSPITAL - (Acute Care)
    2139 AUBURN AVENUE
    CINCINNATI, OH 45219
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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