Individual
SREEDEVI KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5013 HERITAGE AVE STE 100, COLLEYVILLE, TX 76034-5990
(817) 868-1616
Mailing address
5013 HERITAGE AVE STE 100, COLLEYVILLE, TX 76034-5990
(817) 868-1616
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
M6238
TX
Other
Enumeration date
04/23/2007
Last updated
08/22/2013
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