Individual
RAJASEKHAR BODICHARLA
Active
Individual
RAJASEKHAR BODICHARLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
57474
WI
208000000X
Pediatrics Physician
57.012843
OH
208000000X
Pediatrics Physician
57474
WI
Other
Enumeration date
04/16/2008
Last updated
07/03/2013
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