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

Lavanya Boddu, MD

Individual provider Emergency Medicine Physician · NPI 1851503833

Lavanya Boddu, MD is a Family Practice in Coppell, Texas. Qualified in 2000, 26 years ago. Practices with City Medical of Upper East Side PLLC, a 663-clinician group. Licensed in Illinois and Texas.

Years since qualifying
26
Licensed in
IL, TX
In the registry since
2007
Specialties on file
3
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

330 S Denton Tap Rd
Coppell, TX 75019-3207
Phone: (469) 312-7777
Show map & directions

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence T9644 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 036-121313 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 036121313 (IL)

Record details

NPI number1851503833
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2007
Last updated in NPPESMay 8, 2026
Certification dateMay 8, 2026

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice City Medical Of Upper East Side Pllc — 663 clinicians
Accepts Medicare assignment Not indicated
Practice locations5 on file with Medicare

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