Individual
RAMESH B. KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9337
(804) 861-0700
(804) 863-4626
Mailing address
269 MEDICAL PARK BLVD, PETERSBURG, VA 23805-9337
(804) 861-0700
(804) 863-4626
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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