Individual
ADEEL A BODLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 SUN TEMPLE DR, MADISON, AL 35758-5924
(256) 774-5524
(256) 774-5523
Mailing address
400 SUN TEMPLE DR STE D, MADISON, AL 35758-5924
(256) 774-5524
(256) 774-5523
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary
MD30833
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129305
—
AL
Enumeration date
06/28/2007
Last updated
08/15/2023
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