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1568432508
SIVA R BODAGALA
EDEN PRAIRIE, MN
NPI
1568432508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: TX L3925)
Enumeration Date
2006-01-24
Last Update Date
2021-07-28
Business Address
Dr. SIVA R BODAGALA M.D.
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344-5349
Phone number: 952-595-1301
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Mailing Address
Dr. SIVA R BODAGALA M.D.
11995 SINGLETREE LN STE 500
EDEN PRAIRIE, MN 55344-5349
Phone number: 952-595-1301
Copy
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