Individual
DR. NAMRATHA KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2221 NOLL DR FL 1, LANCASTER, PA 17603-7614
(717) 715-1001
(717) 531-0849
Mailing address
500 UNIVERSITY DR MC CA410, HERSHEY, PA 17033-2360
(717) 531-1159
(717) 531-0119
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD458586
PA
207RH0003X
Hematology & Oncology Physician
ME148206
FL
207RX0202X
Medical Oncology Physician
ME148206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110744700
—
FL
01
—
D77EQ
FL BLUE
FL
01
—
P1965
MEDICARE
FL
Enumeration date
07/08/2013
Last updated
12/26/2023
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