Individual
DR. SRIDEVI KODALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
17940 FARMINGTON RD, SUITE 230, LIVONIA, MI 48152-4444
(734) 422-4748
(734) 422-5076
Mailing address
17940 FARMINGTON ROAD, SUITE 230, LIVONIA, MI 48152-2851
(734) 422-4748
(734) 422-5076
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
407429
MI
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
407429
MI
Other
Enumeration date
06/01/2006
Last updated
12/21/2021
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