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

Ketankumar Bodarya, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1831496165

Ketankumar Bodarya, MD is a Psychiatry in Hattiesburg, Mississippi. Qualified in 2006, 20 years ago. Practices with Forsyth Memorial Hospital Inc, a 623-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, North Carolina and Ohio.

Years since qualifying
20
Licensed in
MD, NC, OH
In the registry since
2011
Specialties on file
4
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

2117 Broadway Dr
Hattiesburg, MS 39402-3210
Phone: (601) 288-8050
Fax: (601) 288-8058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 6501 N Charles St, Baltimore, MD 21204-6819 — (401) 938-3000

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 2021-00515 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 2021-00515 (NC)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence D0081182 (MD)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (OH)

Record details

NPI number1831496165
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 23, 2011
Last updated in NPPESJune 13, 2025
Certification dateMay 25, 2021

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Forsyth Memorial Hospital Inc — 623 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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