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Individual
KALYANI KODURI
Active
Individual
KALYANI KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
L5418
TX
207R00000X
Internal Medicine Physician
Primary
L5418
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
158331201
—
TX
01
—
8J3977
BCBS
TX
01
—
P00023450
RAILROAD MEDICARE
TX
Enumeration date
07/03/2006
Last updated
03/24/2014
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