Individual
DR. VINOD K KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1050 DELAWARE AVE, MARION, OH 43302-6416
(740) 383-7778
(740) 375-8118
Mailing address
# L-3652, COLUMBUS, OH 43260-6052
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35048685
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0511164
—
OH
Enumeration date
06/10/2006
Last updated
03/06/2017
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