Individual
DR. BEAULA V KODURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2110 OAK TREE ROAD, EDISON, NJ 08820-3626
(732) 483-4501
(732) 483-4502
Mailing address
PO BOX 1177, SOUTH PLAINFIELD, NJ 07080-9177
(732) 483-4501
(732) 483-4502
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
25MA08158600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0140562
—
NJ
Enumeration date
08/15/2005
Last updated
09/23/2014
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