Individual
ANSHULI KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1653 BRICE RD, REYNOLDSBURG, OH 43068-2799
(844) 300-0102
Mailing address
1653 BRICE RD, REYNOLDSBURG, OH 43068-2799
(844) 300-0102
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
35126707
OH
208D00000X
General Practice Physician
Primary
35126707
OH
Other
Enumeration date
04/09/2013
Last updated
12/16/2025
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