Individual
WILLIAM G KODZAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
Mailing address
700 E MOREHEAD ST, STE 300, CHARLOTTE, NC 28202-2788
(704) 334-7800
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
200400533
NC
2085R0202X
Diagnostic Radiology Physician
230005-1
NY
2085R0202X
Diagnostic Radiology Physician
40305
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89137FC
—
NC
05
—
N0053A
—
SC
01
—
P00336785
RR MEDICARE
NC
Enumeration date
05/19/2006
Last updated
12/20/2017
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