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Individual

NAVNEET K. BODDU

Active
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Individual

NAVNEET K. BODDU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A54188
CA
208VP0014X
Interventional Pain Medicine Physician
Primary
A54188
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00A541880
BLUE SHIELD ID #
CA
05
00A541880
CA
01
00A541880385
CALOPTIMA ID #
CA
01
050084493
RAILROAD MEDICARE ID #
CA
Enumeration date
07/20/2006
Last updated
05/15/2025
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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