NPI 1750813556 · live from the CMS NPI Registry
Vimal M Bodiwala, MD
Internal Medicine, Gastroenterology in Wilkes Barre, PA. National Provider Identifier 1750813556, active.
NPI record
| NPI | 1750813556 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Gastroenterology 207RG0100X |
| Practice location | 675 Baltimore Dr, Wilkes Barre, PA 18702 |
| Practice phone | 570-808-5780 |
| Mailing address | 100 N Academy Ave, Danville, PA 17822 |
| Enumerated | March 30, 2017 |
| Last updated | October 14, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine, Gastroenterology primary | 207RG0100X | MD61412880 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.