Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Madhav R Boddula, MD, MPH

Individual provider Orthopaedic Surgery Physician · NPI 1740355643

Dr. Madhav R Boddula, MD, MPH is an Orthopedic Surgery in Los Angeles, California. Graduated from Tufts University School of Medicine in 2004, 22 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
22
Trained at
Tufts University School of Medicine
Licensed in
CA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
MPH — Master of Public Health
A graduate degree in population health.

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Practice location Address checks out

1200 N State St Gnh 3900
Los Angeles, CA 90033
Phone: (323) 226-7210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence A96091 (CA)

Record details

NPI number1740355643
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , MPH
Sole proprietorYes
NPI enumeratedNovember 24, 2006
Last updated in NPPESDecember 1, 2021
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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