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Bodavula Pediatrics Pllc

Pediatrics Physician in Garland, TX · enumerated 2019 · authorized official Phani Bodavula, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366008294

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Registry record

Entity type Organization (Type 2)
Legal business name Bodavula Pediatrics Pllc
Practice address 6448 Broadway Blvd, Garland, TX, 75043
Phone (972) 216-8500
Fax (972) 216-8521
Enumeration date May 16, 2019
Last updated in NPPES Sep 20, 2025

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary

Authorized official

Name Phani Bodavula
Title Owner
Phone (314) 620-5823

Other identifiers

Identifier Type State Issuer
32070567899 Medicaid TX -
32070567899 Other TX TEXAS PAYER NO

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Bodavula Pediatrics Pllc?
The NPI for Bodavula Pediatrics Pllc is 1366008294, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Bodavula Pediatrics Pllc?
NPPES lists Phani Bodavula (Owner) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-20.