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Individual
DR. SUDHA KODALI
Active
Individual
DR. SUDHA KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBBS
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31042
AL
207R00000X
Internal Medicine Physician
Primary
N6804
TX
207RG0100X
Gastroenterology Physician
N6804
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
392933301
—
TX
Enumeration date
08/05/2007
Last updated
04/13/2023
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