Individual
DR. PADMAJA KODALI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040-3726
(973) 763-1100
(973) 763-1122
Mailing address
2040 MILLBURN AVE, SUITE 403, MAPLEWOOD, NJ 07040-3726
(973) 763-1100
(973) 763-1122
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
25MA06878300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8348707
—
NJ
Enumeration date
04/05/2006
Last updated
12/17/2012
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