Individual
MR. DHRUVATEJ BODDUPALLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
20 YORK ST, NEW HAVEN, CT 06510-3220
(203) 688-4242
Mailing address
20 YORK STREET, P.O. BOX 20802, NEW HAVEN, CT 06520-8025
(203) 785-4123
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
A150647
CA
Other
Enumeration date
06/03/2014
Last updated
09/27/2017
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