Individual
DR. RAVI KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1436 RIVERCHASE BLVD, ROCK HILL, SC 29732-1777
(803) 329-2636
(803) 329-2184
Mailing address
1436 RIVERCHASE BLVD, ROCK HILL, SC 29732-1777
(803) 329-2636
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.065338
IL
207RN0300X
Nephrology Physician
Primary
1.063652
CT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/04/2014
Last updated
02/05/2026
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