Bodla, Adeel A

Bodla, Adeel A is an sole proprietor health care provider with primary practice located at 400 Sun Temple Dr , Madison AL 35758-5924. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Bodla, Adeel A can be contacted via phone (256) 774-5524.

Contact Information

Primary practice address
400 Sun Temple Dr Madison AL 35758-5924
Fax: (256) 774-5523
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X MD30833 Alabama

Profile Details

NPI number 1679770267
LBN Legal business name Bodla, Adeel A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 28th, 2007
Last updated Aug 15th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679770267 NPPES
Alabama MEDICAID 129305

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