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Individual

DHEERAJ KODALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2626 N CALIFORNIA ST STE B, STOCKTON, CA 95204-5500
(209) 466-2626
(209) 466-7153
Mailing address
2626 N CALIFORNIA ST STE B, STOCKTON, CA 95204-5500
(209) 466-2626
(209) 466-7153

Taxonomy

Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
26214
WV
207RH0003X
Hematology & Oncology Physician
Primary
A172284
CA
2084P0800X
Psychiatry Physician
26214
WV

Other

Enumeration date
07/17/2010
Last updated
08/19/2021
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