Individual
MALADY S KODGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
110 IRVING ST NW, GO-12 WASHINGTON HOSP CENTER, WASHINGTON, DC 20010-2976
(202) 877-3442
Mailing address
14504 SANDY RIDGE RD, SILVER SPRING, MD 20905-5874
(301) 879-0252
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
32095
DC
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD32095
DC
Other
Enumeration date
12/14/2005
Last updated
05/29/2019
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