National Provider Identifier Database

PRAJWAL C BODDU, MD – NPI #1205178621
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

PRAJWAL C BODDU, MD
333 CEDAR ST
NEW HAVEN, CT06510-3206
Phone: 832-396-4414
Fax:
Website:
Specialty Taxonomy Code
* Hematology & Oncology 207RH0003X

* Indicates primary specialty

NPI Profile & details for PRAJWAL C BODDU

NPI Number 1205178621
Credentials MD
Entity Individual
Enumeration date 03/24/2013
Last updated 06/20/2023 - About 3 years ago
Sole proprietor1 Yes
Identifiers
  • CT License #: 74910
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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