Individual
DR. ARCHANA KODALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1298
(937) 298-4331
Mailing address
3535 SOUTHERN BLVD, KETTERING, OH 45429-1298
(937) 298-4331
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT203115
PA
Other
Enumeration date
03/13/2013
Last updated
08/19/2020
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