NPI
Lavanya Boddu
This page is a copy of the public NPPES file.
Facts
- Status
- Active
- Credential
- MD
- Type
- Individual
- Enumeration date
- 2007-05-04
- Last updated
- 2026-09-28
Specialties
Licenses
- License TX
- T9644
- License IL
- 036-121313
- License IL
- 036121313
- License NY
- 297472
Location
- Practice location
- 330 S Denton Tap Rd
- City
- Coppell TX
- Postal code
- 75019-3207
- Phone
- (469) 312-7777
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.
Nearby
Other NPIs in Coppell, TX. 1,090 records in the public file.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.
Run it in Rivvi
Is this you?
Check your listing for a stale address, wrong specialty or deactivation. Free.
Check my listingFree to start. Opens Rivvi, the AI workspace for healthcare teams.