| Doctor Name: | DANIEL BODOR |
| NPI Number: | 1013977669 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | ME66660 |
| Business Practice Address: | 8 Cadillac Drive Ste 200 Brentwood, TN - 37027 |
| Business Phone Number: | 6153767500 |
| Business Fax Number: | 6153767575 |
| Mailing Address: | 308 N Peters Rd, Ste 225 KNOXVILLE |
| State: | TN |
| Postal Code: | 37922 |
| Phone Number: | 8656940062 |
| Fax Number: | 8656947907 |
| NPI Enumeration Date: | 03/27/2006 |
| NPI Last Update Date: | 03/26/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2085R0202X |
| License Number: | ME66660 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | FL |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Radiology |
| Taxonomy Specialization: | Diagnostic Radiology |
| Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |