Ketankumar Bodarya is a Winston Salem, North Carolina based psychiatrist with 18 years of experience in Child & Adolescent. He completed his graduation in 2006. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Ketankumar Bodarya is 2021-00515 for Psychiatry in North Carolina. His current practice location is 175 Kimel Park Dr Ste 100, Winston Salem. Patients can reach him at 336-718-3550 or can fax him at 336-277-1825. Ketankumar Bodarya NPI number (Unique professional ID assigned by NPPES) is 1831496165. Ketankumar Bodarya has done additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Complete Profile:
Ketankumar Bodarya speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Ketankumar Bodarya
Specialization:
Child & Adolescent
Gender:
Male
Experience:
18+ years
Medical School Attended:
Other
Graduation Year:
2006
Accepts Medicare Assignment:
Yes
Practice Address:
175 Kimel Park Dr Ste 100, Winston Salem, North Carolina, 27103-6951
Phone:
336-718-3550
Fax:
336-277-1825
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
9032409313
Enrollment ID:
I20210430001533
NPI Number:
1831496165
NPI Enumeration Date:
23 Feb, 2011
NPI Last Update On:
25 May, 2021
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ketankumar Bodarya are as mentioned below.
License Number
Specialization
State
Status
2021-00515
Psychiatry
North Carolina
Primary
2021-00515
Child & Adolescent
North Carolina
Secondary
D0081182
Child & Adolescent
Maryland
Secondary
Student in an Organized Health Care Education/Training Program
Ohio
Secondary
Hospital Affiliation:
Surgeons are affiliated to many hospitals whom they worked with in the past or are presently working with. One surgeon can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(340014)
Winston-salem, NC
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Ketankumar Bodarya is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Forsyth Memorial Hospital Inc (9537071790)
551
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Ketankumar Bodarya Po Box 751803, Charlotte, North Carolina
Zip:
28275-1803
Phone Number:
336-718-3550
Fax Number:
336-277-1825
Patients can reach Ketankumar Bodarya at 175 Kimel Park Dr Ste 100, Winston Salem, North Carolina or can call to book an appointment on 336-718-3550.
Comments/ Reviews:
*Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.