SIVA R BODAGALA


Address: 5421 Braeburn Dr, Bellaire, TX 77401-4702
Phone: 9525951100

SIVA R BODAGALA (NPI# 1568432508) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1568432508
Entity Type Individual
Full Name SIVA R BODAGALA
Credential M.D.
Practice Address 5421 Braeburn Dr
Bellaire
TX 77401-4702
Mailing Address 11995 Singletree Ln
Ste 500
Eden Prairie
MN 55344-5347
Practice Telephone 9525951100
Practice Fax Number 6122944903
Mailing Telephone 9525951301
Mailing Fax Number 6122944903
Enumeration Date 2006-01-24
Last Update Date 2016-08-15
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2085R0202X Radiology
Specialization: Diagnostic Radiology
L3925 TX Allopathic & Osteopathic Physicians

Office Location

Street Address 5421 BRAEBURN DR
City BELLAIRE
State TX
Zip Code 77401-4702

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1457884371 Damian Duplechain Counselor 5959 West Loop 610 South, Suite 600, Bellaire, TX 77401 2017-04-07
1659804672 Stephanie Nelson Behavioral Analyst 6607 S Rice Ave, Bellaire, TX 77401 2017-04-06
1750839478 U S Anesthesia Partners of Texas, Pa Physician Assistant 4710 Bellaire Blvd Ste 390, Bellaire, TX 77401 2016-09-12
1003287657 Juna Medical LLC Durable Medical Equipment & Medical Supplies 5420 Bellaire Blvd, Suite C, Bellaire, TX 77401 2015-10-08
1366820201 Jennifer Lorene Christian Counselor 5959 West Loop South, Suite 515, Bellaire, TX 77401 2015-05-12
1326430778 Margaret Mcalpin Crady Social Worker 6750 West Loop South, # 860, Bellaire, TX 77401 2015-02-23
1952702193 Sally Eisen Miller Marriage & Family Therapist 5909 West Loop S. #590, Bellaire, TX 77401 2014-09-08
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Taxonomy Information

Taxonomy Code 2085R0202X
Grouping Allopathic & Osteopathic Physicians
Classification Radiology
Specialization Diagnostic Radiology

Taxonomy Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
- Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255841730 Total Health and Wellness LLC Radiology 6565 West Loop S Ste 110, Bellaire, TX 77401-3505 2017-10-10
1144645409 Target Health and Wellness Radiology 6565 West Loop S Ste 300, Bellaire, TX 77401-3505 2014-02-24
1639368939 John Kilpatrick Surratt Radiology 4600 Braeburn Dr, Bellaire, TX 77401-5502 2007-10-23
1043298482 Eric P. Hardee Radiology 4747 Bellaire Blvd Ste 575, Bellaire, TX 77401-4535 2006-01-05
1861879850 Mpire Imaging LLC Radiology 6800 West Loop S, Suite 580, Bellaire, TX 77401-4528 2015-04-29
1831337096 Arnold Joseph Valenson Radiology 4747 Bellaire Blvd Ste 575, Bellaire, TX 77401-4535 2009-01-27
1235318312 Peter F Gray Md Pa Radiology 5116 Bissonnet St, Bellaire, TX 77401 2007-10-25
1821205956 Dee Mccrary Jr Md Pa Radiology 5116 Bissonnet St, Bellaire, TX 77401 2007-05-17
1588871610 Jack M Thomas Md Pllc Radiology 5116 Bissonnet St, Bellaire, TX 77401 2007-05-17
1073562682 Ut Imaging - Houston LLP Radiology 6700 West Loop S, Suite 100, Bellaire, TX 77401-4104 2006-05-09
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Competitor

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City BELLAIRE
Zip Code 77401

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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