Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Bodavula MD LLC

Organization Clinic/Center · NPI 1790183077

Bodavula MD LLC is a Clinic/Center in Creve Coeur, Missouri. Licensed in Missouri. Registered with an NPI since 2014.

Licensed in
MO
In the registry since
2014
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

709 Turrentine Trl
Creve Coeur, MO 63141-6089
Phone: (914) 563-2943
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X · Licence 2010007564 (MO)

Record details

NPI number1790183077
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Venkata Bodavula — Surgeon · (914) 563-2943
NPI enumeratedDecember 18, 2014
Last updated in NPPESDecember 18, 2014
Mailing address709 Turrentine Trl, Creve Coeur, MO 63141-6089

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