Individual
ROBERT KODSI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2376 CYPRESS CIR STE 203, CONWAY, SC 29526-8994
(843) 347-6038
(843) 347-9808
Mailing address
300 SINGLETON RIDGE RD, ATTN CREDENTIALING, CONWAY, SC 29526-9142
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
1942861
NY
207RG0100X
Gastroenterology Physician
Primary
93413
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01694706
—
NY
01
—
4C3181
HEALTHNET
—
01
—
6014232
GHI
—
05
—
934136
—
SC
Enumeration date
08/22/2005
Last updated
11/17/2025
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