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KETANKUMAR BODARYA NPI 1831496165


NPI Information

NPI: 1831496165
Provider Name: KETANKUMAR BODARYA
Classification: Psychiatry & Neurology - 2084P0800X
Entity Type: Individual

Specialization: Psychiatry

PECOS Registration: Yes

Address:
175 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103
Phone: (336) 718-3550
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Ketankumar Bodarya is a psychiatry psychiatry neurology in Winston Salem, NC with 18 years of experience. The provider is a Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. Ketankumar Bodarya NPI is 1831496165. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

175 KIMEL PARK DR STE 100
WINSTON SALEM, NC
ZIP 27103-951
Phone: (336) 718-3550
Fax: (336) 277-1825

The NPI 1831496165 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 2/23/2011 and was last updated on 5/25/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12084P0804XPsychiatry & NeurologyChild & Adolescent Psychiatry2021-00515NORTH CAROLINANo
22084P0804XPsychiatry & NeurologyChild & Adolescent PsychiatryD0081182MARYLANDNo
3390200000XStudent in an Organized Health Care Education/Training ProgramOHIONo
42084P0800XPsychiatry & NeurologyPsychiatry2021-00515NORTH CAROLINAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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