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Ketankumar Bodarya
Psychiatry Physician in Winston Salem, North Carolina
NPI 1831496165

Ketankumar Bodarya is a Psychiatry Physician based in Charlotte, NC and is specialized in Psychiatry. Ketankumar Bodarya practices in Winston Salem, NC. The NPI Number for Ketankumar Bodarya is 1831496165 and holds a License No. 2021-00515 (North Carolina).

The current practice location address for Ketankumar Bodarya is 175 Kimel Park Dr Ste 100, Winston Salem, NC and can be reached out via phone at 336-718-3550 and via fax at 336-277-1825. You can also correspond with Ketankumar Bodarya through the mailing address at PO BOX 751803, CHARLOTTE, NC - 28275-1803 (mailing address contact number: 336-718-3550).

Location: 175 Kimel Park Dr Ste 100, Winston Salem, NC, 28275-1803
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831496165
Provider Name
Ketankumar Bodarya
Credential
Provider Entity Type
Individual
Gender
Male
Address
175 Kimel Park Dr Ste 100, Winston Salem, NC, 28275-1803
Phone Number
336-718-3550
Fax Number
336-277-1825
Provider Enumeration Date
02/23/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 Kimel Park Dr Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-6951
Phone Number
336-718-3550
Fax Number
336-277-1825
person
Provider Business Mailing Address Details
Address
175 Kimel Park Dr Ste 100
City
Winston Salem
State
North Carolina
Zip
27103-6951
Phone Number
336-718-3550
Fax Number
336-277-1825
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Psychiatry
Taxonomy
2084P0800X
License No.
(Ohio)
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Child & Adolescent Psychiatry
Taxonomy
2084P0804X
License No.
D0081182 (Maryland)
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2021-00515 (North Carolina)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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