National Provider Identifier Database

MANORANJAN BODDAPATI, MD – NPI #1134147689
Hematology & Oncology

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.


Contact Information

MANORANJAN BODDAPATI, MD
510 E STONER AVE
SHREVEPORT, LA71101-4243
Phone: 318-424-6064
Fax: 318-424-6179
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for MANORANJAN BODDAPATI

NPI Number 1134147689
Credentials MD
Entity Individual
Enumeration date 07/17/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor1 No
Identifiers
  • LA License #: 15337R
  • LA Medicaid: 1174548
Hospital affiliation n/a

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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