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Organization
KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
Active
Organization
KODALI NEPHROLOGY AND HYPERTENTION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PADMAJA KODALI M.D (DOCTOR)
(973) 763-1100
Entity
Organization
Contact information
Practice address
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040-3726
(973) 763-1100
(973) 763-1122
Mailing address
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040-3726
(973) 763-1100
(973) 763-1122
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06878300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348707
—
NJ
Enumeration date
10/11/2007
Last updated
01/02/2008
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