Individual
RAMESH B. KODURI
Active
Individual
RAMESH B. KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
0101024418
VA
2084P0800X
Psychiatry Physician
Primary
0101024418
VA
2084P0805X
Geriatric Psychiatry Physician
0101024418
VA
Other
Enumeration date
04/20/2006
Last updated
10/02/2013
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