Individual
SREENATH KODALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 DUFF AVE, AMES, IA 50010
(515) 239-4401
(515) 239-4791
Mailing address
1215 DUFF AVE, AMES, IA 50010-5400
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
45840
IA
207RI0200X
Infectious Disease Physician
60 280695
NY
Other
Enumeration date
08/19/2011
Last updated
01/13/2021
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