Individual
SUCHARITA BODDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
16766 BERNARDO CENTER DR STE 206, SAN DIEGO, CA 92128-2502
(858) 381-0686
(858) 365-5189
Mailing address
16766 BERNARDO CENTER DR STE 206, SAN DIEGO, CA 92128-2502
(858) 381-0686
(858) 365-5189
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
A151938
CA
207W00000X
Ophthalmology Physician
A151938
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/06/2015
Last updated
03/20/2023
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