DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GOUTHAMI BODDU, MD

Active Sole Proprietor

DR. GOUTHAMI BODDU, MD is a Internal Medicine healthcare provider located in FAYETTEVILLE, North Carolina. NPI 1972173011 is currently active in the NPPES registry. Verify at CMS.

Internal Medicine · FAYETTEVILLE, NC

Registration Details

NPI Number
1972173011
Provider Type
Individual
Gender
Female
NPI Issued
Jun 30, 2021 (5.1407166238038 yrs)
Last Updated
Jun 18, 2025
License
2024-01318 (NC)
Sole Proprietor
Yes

Practice Information

Address
1638 OWEN DR
FAYETTEVILLE, NC, 283043424
Browse NC providers · Browse ZIP 28304
Phone
9106154000
Primary Specialty
Internal Medicine
207R00000X
Additional Specialty
Internal Medicine

Other Internal Medicine Providers in FAYETTEVILLE, NC

Name Credential NPI
DR. LEON E DANTZLER M.D. 1285637397
DR. SHASHIKANT PATEL MD 1700889854
DR. GHANSHYAM PRADYUMNA DWIVEDI MD 1033112602
DR. DAVID ASHLEY HILL MD 1326042268
DR. NWAOBIARA OBI-GWACHAM MD 1619971587
DR. SABENA JOHNSON MD 1013911965
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.