Individual
DR. MADHAV R BODDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., M.P.H.
Contact information
Practice address
1200 N. STATE ST, GNH 3900, LOS ANGELES, CA 90033
(323) 226-7210
Mailing address
580 W MAIN ST APT 128, ALHAMBRA, CA 91801-3368
(714) 686-8655
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A96091
CA
Other
Enumeration date
11/24/2006
Last updated
12/01/2021
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