Individual
VENU GOPAL KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 923-9626
Mailing address
2000 MEADE PARKWAY, SUFFOLK, VA 23434-4259
(757) 539-0251
(757) 923-9610
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101049408
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100005800
RAILROAD MEDICARE
VA
05
—
6075738
—
VA
05
—
890682T
—
NC
Enumeration date
04/19/2006
Last updated
05/14/2009
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