Individual
DR. PRADEEP BODIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
12221 MERIT DR, STE 1500, DALLAS, TX 75251-2202
(214) 217-1911
Mailing address
12221 MERIT DR, STE 1500, DALLAS, TX 75251-2202
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
Q1097
TX
207R00000X
Internal Medicine Physician
Q1097
TX
Other
Enumeration date
06/26/2009
Last updated
11/20/2014
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