Individual
ANITA T. BODIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
26850 PROVIDENCE PKWY, SUITE 370, NOVI, MI 48374-1213
(248) 465-4160
(248) 465-4525
Mailing address
26850 PROVIDENCE PKWY, SUITE 370, NOVI, MI 48374-1213
(248) 465-4160
(248) 465-5425
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301065481
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4919344
—
MI
Enumeration date
03/07/2006
Last updated
05/21/2014
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