Individual
DR. NEERAJA JAGANNADHAM BODDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2719 NORTHRIDGE DR STE 107, BEDFORD, TX 76021-4191
(817) 576-4196
Mailing address
PO BOX 210602, BEDFORD, TX 76095-7602
(817) 576-4196
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
S1982
TX
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
S1982
TX
Other
Enumeration date
05/07/2007
Last updated
12/08/2024
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