Individual
DR. BABY VASANTHI KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.B.,B.S
Contact information
Practice address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
(800) 424-3672
Mailing address
14050 NW 14TH ST, SUITE 190, SUNRISE, FL 33323-2865
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
38071
SC
208M00000X
Hospitalist Physician
38071
SC
Other
Enumeration date
06/21/2012
Last updated
06/06/2016
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