Search › Indiana › 2080N0001X
Praveen Kumar Boddu, MD
NPI 1609494384 · on the registry since 2020
Practice
- Address
- 2401 W University Ave
Muncie, IN 47303 - Phone
- (765) 751-2650
- Organisation at this address
- Pa Labs Inc
Pa Labs, Llc
Emgi-Ball, Llc
Icem-Ball, Llc
Lil Family IncInferred from a shared address, not stated in the registry. - Clinicians at this address
- 343
Additional practice sites
- 3901 Beaubien St Ste 3t72, Detroit, MI
Registry record
- Primary taxonomy
- 2080N0001X
2080N0001X
- Also registered as
- 2080N0001X
- Licence states on file
- MI, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-09-03
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana