1295672798 NPI number — VENKAT TEJ SAI BODLA M.B.B.S.

Table of content: VENKAT TEJ SAI BODLA M.B.B.S. (NPI 1295672798)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1295672798 NPI number — VENKAT TEJ SAI BODLA M.B.B.S.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BODLA
Provider First Name:
VENKAT TEJ SAI
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.B.B.S.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1295672798
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/01/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
HAFEEZPET, HYDERABAD
Provider Second Line Business Mailing Address:
C 805 ADITYA IMPERIAL HEIGHTS
Provider Business Mailing Address City Name:
HYDERABAD
Provider Business Mailing Address State Name:
TELANGANA
Provider Business Mailing Address Postal Code:
500049
Provider Business Mailing Address Country Code:
IN
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 OCEAN PARKWAY, BROOKLYN
Provider Second Line Business Practice Location Address:
SOUTH BROOKLYN HEALTH
Provider Business Practice Location Address City Name:
NEW YORK CITY
Provider Business Practice Location Address State Name:
NY
Provider Business Practice Location Address Postal Code:
11235
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
718-616-3792
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
05/01/2026

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 390200000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)