Individual
DR. RAVI K KODURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1332 N 7TH ST, TERRE HAUTE, IN 47807-1004
(812) 478-8888
(812) 478-1114
Mailing address
264 E TRAILWOOD DR, TERRE HAUTE, IN 47802-9606
(812) 478-8888
(812) 478-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01057643A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000299607
COMMERCIAL
IN
05
—
200456210
—
IN
01
—
P00057068
RR MEDICARE
IN
01
—
P01045883
RAILROAD MEDICARE
IN
Enumeration date
10/12/2006
Last updated
07/19/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us