Individual
DR. RAHUL KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
210 SUNBURY ST, MINERSVILLE, PA 17954-1346
(570) 544-9123
(570) 544-9263
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(570) 544-9123
(570) 544-9263
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD460750
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/08/2012
Last updated
10/10/2022
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