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Shiva Ram Boda
NPI 1932578580 · on the registry since 2015 · sole proprietor
Practice
- Address
- 5169 Chasemoor Ct
Portage, MI 49024 - Phone
- (479) 387-8528
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Physical Therapist
225100000X
- Licence states on file
- MI
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-09-24
- Status
- Not present in the most recent federal file
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 Michigan