Psychiatry & Neurology, Psychiatry
KETANKUMAR BODARYA MD
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1831496165 · enumerated 2011-02-23 · record updated 2025-06-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 2117 BROADWAY DRIVE, HATTIESBURG, MS, 39402-3210 (601) 288-8050 Fax (601) 288-8058 Google Maps Apple Maps OpenStreetMap
- Mailing address 2117 BROADWAY DRIVE, HATTIESBURG, MS, 39402-3210 (601) 288-8050 Fax (601) 288-8058 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · License 2021-00515 NC
- Psychiatry & Neurology, Child & Adolescent Psychiatry 2084P0804X · License D0081182 MD
- Student in an Organized Health Care Education/Training Program 390200000X
- Psychiatry & Neurology, Psychiatry 2084P0800X · Primary · License 2021-00515 NC
In this directory
MS Lamar County Hattiesburg Psychiatry & Neurology, Psychiatry
Locations and evidence
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Practice location
HATTIESBURG, MS, 394023210
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.