Individual
DEEPTHI KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1204 N VERCLER RD, SPOKANE VALLEY, WA 99216-1020
(509) 228-1000
Mailing address
24373 E HARRIER LOOP, LIBERTY LAKE, WA 99019-5400
(304) 993-9323
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
MD61351890
WA
207RX0202X
Medical Oncology Physician
MD61351890
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/18/2016
Last updated
07/31/2025
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