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NPI Verification

National Provider Identifier: 1134569825

Sowmya Boddhula, MD

Individual Provider

Credentials

Primary Specialty

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

All Specialties (2)

Internal Medicine

Code: 207R00000X

Internal Medicine, Endocrinology, Diabetes & Metabolism

Code: 207RE0101X

Primary

Practice Address

705 E MARSHALL AVE STE 1002

LONGVIEW, TX 756015660

Phone: 903-315-4422

NPI Enumeration Date

June 27, 2013

NPI Number

1134569825

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry