Individual
ARUNA BODDU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1800 N BRITAIN RD, IRVING, TX 75061-2630
(214) 266-3000
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
L7943
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171167302
—
TX
05
—
171167303
—
TX
05
—
171167304
—
TX
05
—
171167305
—
TX
01
—
8K4039
BCBS
TX
Enumeration date
02/06/2006
Last updated
11/10/2012
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