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

Dr. Phani Bodavula, MD

Individual provider Pediatrics Physician · NPI 1700204690

Dr. Phani Bodavula, MD is a Pediatrics Physician in Garland, Texas. Licensed in Texas. Registered with an NPI since 2014.

Licensed in
TX
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

6448 Broadway Blvd
Garland, TX 75043
Phone: (972) 216-8500
Fax: (972) 216-8521
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence R5085 (TX)

Record details

NPI number1700204690
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 28, 2014
Last updated in NPPESSeptember 20, 2025
Certification dateSeptember 20, 2025
Mailing address6448 Broadway Blvd, Garland, TX 75043-5943

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