Individual provider · Type 1 NPI
Praveen Kumar Boddu, MD
Neonatal-Perinatal Medicine Physician · Muncie, IN
NPI number
1609494384
Active
Practice location
2401 W University Ave
Muncie, IN 47303-3428
Mailing address
1215 E Michigan Ave
Lansing, MI 48912-1811
Other practice locations
- 1215 E Michigan Ave, Lansing, MI 48912-1811 · (517) 364-1000
- 3901 Beaubien St Ste 3T72, Detroit, MI 48201-2119 · (313) 745-7496
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Neonatal-Perinatal Medicine Physician Primary | 2080N0001X | EMC0010190 (MI) |
| Neonatal-Perinatal Medicine Physician | 2080N0001X | 01094599A (IN) |
Neonatal-Perinatal Medicine Physician: A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
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About NPI 1609494384
Praveen Kumar Boddu, MD's National Provider Identifier is 1609494384, issued on Jul 9, 2020. The primary taxonomy on file is Neonatal-Perinatal Medicine Physician (2080N0001X), and the practice location is in Muncie, IN. The record was last updated on Sep 18, 2026.