Organization
SURYAM KODALI M.D,.P.A.
Active
Parent organization
SURYAM KODALI M.D.,P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SURYAM KODALI M.D.,P.A.
Authorized official
DR. SURYAM KODALI M.D. (PRESIDENT)
(713) 777-1141
Entity
Organization
Contact information
Practice address
7737 SOUTHWEST FWY, STE 510, HOUSTON, TX 77074-1807
(713) 777-1141
Mailing address
7737 SOUTHWEST FWY, STE 510, HOUSTON, TX 77074-1807
(713) 777-1141
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
F2307
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00B38G
MC/GRP #
TX
Enumeration date
10/26/2007
Last updated
10/26/2007
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