Michael Moran Gilbert Bodell
Radiology, Diagnostic Radiology in Columbus, OH. Individual provider (NPI-1).
NPI number1245931237
StatusActive
Last updated in NPPESJul 3, 2025
Details
- NPI
- 1245931237
- Entity type
- Individual (NPI-1)
- Name
- Michael Moran Gilbert Bodell
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 15, 2023
- Certification date
- Jul 3, 2025
- Last updated
- Jul 3, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0202X | Radiology, Diagnostic Radiology | 57.256601 | OH | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | OH | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
395 W 12th AveColumbus, OH 43210-1267
Phone 614-293-8315
Mailing address
2011 Wyandotte RdUpper Arlington, OH 43212-1037
Phone 614-940-4254
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