# NEERAJA BODDU MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316588361
- **Authorized official:** NEERAJA BODDU MD (OWNER)
- **Authorized official phone:** (817) 576-4196

## Contact information

- **Practice address:** 2719 NORTHRIDGE DR STE 107, BEDFORD, TX 76021-4191
- **Practice address phone:** (817) 281-0210
- **Practice address fax:** (833) 909-2094
- **Mailing address:** PO BOX 210602, BEDFORD, TX 76095-7602

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/01/2019
- **Last updated:** 12/08/2024