Individual
RAVI PRAKASH KODALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2213 CHERRY ST, ATTN: MRG ASSOCIATES, LLC - RADIOLOGY DEPT., TOLEDO, OH 43608-2603
(419) 251-4340
Mailing address
2213 CHERRY ST, ATTN: MRG ASSOCIATES, LLC - RADIOLOGY DEPT., TOLEDO, OH 43608-2603
(419) 251-4340
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
35083623
OH
2085R0204X
Vascular & Interventional Radiology Physician
Primary
35083623
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2504758
—
OH
01
—
35083623
OH MEDICAL LICENSE
OH
Enumeration date
10/26/2006
Last updated
03/07/2023
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