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Contact Information

SHREYES BODDU, DO
3000 Q ST FL 2
SACRAMENTO, CA95816-7058
 Phone: 916-733-3323
 Fax: 916-733-5383
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pulmonary Disease

207RP1001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for SHREYES BODDU · (Male)

NPI # 1922503804
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/24/2018
Last updated 11/19/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 20A24538
Hospital affiliation(s) Not Available
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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