National Provider Identifier
Mashhood Ahmad Bodla, MBBS
Mashhood Ahmad Bodla, MBBS is listed in the NPPES registry with a primary specialty of Internal Medicine Physician in Ithaca, NY and a listed phone number of (607) 277-2170.
Profile Overview
- NPI
- 1669092805
- Provider Type
- Individual
- Primary Specialty
- Internal Medicine Physician
- Enumeration Date
- April 17, 2020
- Last Updated
- August 22, 2023
Practice Location
- 905 Hanshaw Road, Suite C
- Ithaca, NY 14850
Phone: (607) 277-2170
Mailing Address
- Cayuga Medical Associates
- 1301 Trumansburg Road, Suite P
- Ithaca, NY 14850
Specialties
- Internal Medicine Physician (207R00000X)
- Student in an Organized Health Care Education/Training Program (390200000X)
Full Record
- NPI
- 1669092805
- Entity Type
- Individual
- Last Name
- Bodla
- First Name
- Mashhood
- Middle Name
- Ahmad
- Name Prefix
- Mr.
- Credential
- MBBS
- Mailing Street Address
- Cayuga Medical Associates
- Mailing Address Line 2
- 1301 Trumansburg Road, Suite P
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850
- Mailing Country
- US
- Mailing Phone
- (607) 252-3455
- Practice Street Address
- 905 Hanshaw Road, Suite C
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850
- Practice Country
- US
- Practice Phone
- (607) 277-2170
- Enumeration Date
- April 17, 2020
- Last Updated
- August 22, 2023
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- January 04, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Internal Medicine Physician (207R00000X), Student in an Organized Health Care Education/Training Program (390200000X)