P Praxis·MD
● Active Type 1 · Individual

DR. Sowmya Boddhula, MD

Internal Medicine·Longview, TX· NPI 1134569825 · Enumerated 2013 · 12 years on NPI
Boddhula is 1 of 3 internal medicine providers in Longview and 1 of 935 in Texas.
NPI age
12 years
Enumerated 2013-06-27
Primary specialty
Internal Medicine
Plus 1 subspecialty
Licensed in
TX, NY
2 states
Status
Active
No deactivations on record
Last NPPES update
2024-09-12
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 935 active internal medicine providers in Texas.

NPI age
12 years
↓ 6 yr below median (18 yr)
State licenses
2 states
Top 84% — 15% of peers are multi-state
Subspecialties
1
In the 38% of peers with subspecialties

NPI lifetime · 2013 → 2026

2013-06Enumerated in NPPES
2013 2026

Where they practice

Practice location
705 E Marshall Ave Ste 1002
Longview, TX 756015660
📞 9033154422
Mailing address
Po Box 846098
Dallas, TX 752846098
📞 9033246400fax 6075476612

Additional practice locations

2 secondary locations on file with NPPES.

Location 2
700 E Marshall Ave
Longview, TX 756015580
📞 9033151488
Location 3
703 E Marshall Ave Ste 5008
Longview, TX 756015557
📞 9033155555

Specialties

  • Internal Medicine Primary
    An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary...
    TX license #T1906 taxonomy 207RE0101X
  • Internal Medicine
    A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer,...
    NY license #288270 taxonomy 207R00000X

Identifiers

TypeValueNotes
01 (TX) 1R9519 MEDICARE
05 (TX) 428571001
01 (TX) 8QD098 BCBS
Multi-state credentialing: Licensed in 2 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 17 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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