National Provider Identifier Database

PHANI BODAVULA, MD – NPI #1700204690
Pediatrics

A pediatrician 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.


Contact Information

PHANI BODAVULA, MD
6448 BROADWAY BLVD
GARLAND, TX75043
Phone: 972-216-8500
Fax: 972-216-8521
Website:
Specialty Taxonomy Code
* Pediatrics 208000000X

* Indicates primary specialty

NPI Profile & details for PHANI BODAVULA

NPI Number 1700204690
Credentials MD
Entity Individual
Enumeration date 03/28/2014
Last updated 09/20/2025 - About 9 months ago
Sole proprietor1 No
Identifiers
  • TX License #: R5085
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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