Individual
DR. MURALI KRISHNA KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2946 E. BANNER GATEWAY DR., GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Mailing address
2946 E BANNER GATEWAY DR., GILBERT, AZ 85234
(480) 256-6444
(480) 256-3682
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49958
AZ
207R00000X
Internal Medicine Physician
ME 101276
FL
207RH0003X
Hematology & Oncology Physician
Primary
49958
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2814072-00
—
FL
01
—
41726
BLUE CROSS BLUE SHIELD
—
05
—
997033219
—
NM
Enumeration date
03/27/2006
Last updated
07/31/2025
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