Individual
DR. PRASAD R KODURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
6000 HARRY HINES BLVD, DALLAS, TX 75235-5303
(214) 645-7000
(214) 645-7001
Mailing address
6000 HARRY HINES BLVD, DALLAS, TX 75235-5303
(214) 645-7000
(214) 645-7001
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
PKODU1
NY
207SC0300X
Clinical Cytogenetics Physician
PKODU1
NY
207ZP0007X
Molecular Genetic Pathology (Pathology) Physician
PKODU1
NY
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
08/04/2011
Last updated
08/04/2011
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