Individual
DR. SRILATHA KODALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
49 ATWOOD RD, SUITE 1, PELHAM, NH 03076-3719
(603) 635-2802
(603) 635-3070
Mailing address
49 ATWOOD RD STE 1, PELHAM, NH 03076-3752
(603) 635-2802
(603) 635-3070
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10537
NH
207R00000X
Internal Medicine Physician
158755
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200262
—
NH
05
—
3197352
—
MA
Enumeration date
02/24/2006
Last updated
10/03/2022
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