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Individual

DR. SRINIVAS KODALI

Active
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Individual

DR. SRINIVAS KODALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
N1713
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
202324401
TX
05
202324402
TX
01
8BZ885
BCBS
TX
01
P00725231
RAILROAD MEDICARE
TX
Enumeration date
04/27/2009
Last updated
06/27/2016
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