Provider Demographics
NPI:1952560690
Name:BODA, NAMRATHA REDDY (MD)
Entity Type:Individual
Prefix:MS
First Name:NAMRATHA
Middle Name:REDDY
Last Name:BODA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:11 WHITEHALL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-3226
Mailing Address - Country:US
Mailing Address - Phone:603-330-7931
Mailing Address - Fax:603-335-8199
Practice Address - Street 1:11 WHITEHALL RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-3226
Practice Address - Country:US
Practice Address - Phone:603-330-7931
Practice Address - Fax:603-335-8199
Is Sole Proprietor?:No
Enumeration Date:2008-06-06
Last Update Date:2012-10-15
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH156512084P0805X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry