Organization
PELHAM HEALTHCARE ASSOCIATES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SRILATHA KODALI MD (OWNER)
(603) 635-2802
Entity
Organization
Contact information
Practice address
49 ATWOOD RD STE 1, PELHAM, NH 03076-3752
(603) 635-2802
(603) 635-3070
Mailing address
49 ATWOOD RD STE 1, PELHAM, NH 03076-3752
(603) 635-2802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30200262
—
NH
05
—
3197352
—
MA
Enumeration date
01/28/2007
Last updated
04/11/2024
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