| Provider / Organization | NPI | Date Certified |
|---|---|---|
| SANDEEP BODIGE | 1437419686 | 2012-05-22 |
Sandeep Bodige is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1437419686. Registration indicates Sandeep Bodige is a provider of access to adult/geriatric primary care providers services with a specialization in Allopathic & Osteopathic Physicians, Family Medicine Access to Pediatric Primary Care Providers (Allopathic & Osteopathic Physicians, Family Medicine) (Allopathic & Osteopathic Physicians, Family Medicine) (Family Medicine, ) (Primary Care/Family Planning/APRN/PA, ) (Family Medicine, Allopathic & Osteopathic Physicians)
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Sandeep Bodige D.O. |
| Practice Office Address | 801 E WHITESTONE BLVD BLDG C CEDAR PARK, TX US |
| Practice Office Telephone | 5122593467 |
| Mailing Address | 6210 E US HWY 290 AUSTIN, TX 78723 US |
| Business Telephone | 5124839596 |
| Business Fax | 5124066216 |
| Code | Practice | License No State |
|---|---|---|
| 207Q00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Allopathic & Osteopathic Physicians Family MedicineAccess to Pediatric Primary Care Providers Allopathic & Osteopathic Physicians Family Medicine Allopathic & Osteopathic Physicians Family Medicine Family Medicine Primary Care/Family Planning/APRN/PA Family Medicine Allopathic & Osteopathic Physicians | Q6154
TX |