Individual
DR. RISHI TUSHAR BODALIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6030 WHISPERING TREES LN, PORT ORANGE, FL 32128-7352
(716) 207-2800
Mailing address
6030 WHISPERING TREES LN, PORT ORANGE, FL 32128-7352
(716) 207-2800
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
038013247
IL
111NR0200X
Radiology Chiropractor
2301401186
MI
111NR0200X
Radiology Chiropractor
Primary
CH13948
FL
111NR0200X
Radiology Chiropractor
X013037
NY
Other
Enumeration date
01/22/2018
Last updated
12/12/2024
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