Individual
DR. BANERJE KODURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
207 N 4TH AVE, HOPEWELL, VA 23860-2503
(804) 541-0918
(804) 541-7924
Mailing address
207 N 4TH AVE, HOPEWELL, VA 23860-2503
(804) 541-0918
(804) 541-7924
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01010300086
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007140436
—
VA
Enumeration date
08/09/2006
Last updated
09/10/2013
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