Karthik Koduru M.D.

NPI 1720241565 - Internal Medicine - 207R00000X

NPI Details
NPI 1720241565
Gender Male
Enumeration Date 07/02/2008
Last Updated 12/04/2012
Entity Type Individual
Active Over 8 years ago
Practice Location
BROADWAY AT 11TH STREET
QUINCY IL, 62301, US
Phone (217) 222-6550
Fax
Business Location
1025 MAINE ST
QUINCY IL, 62301-4038, US
Phone (217) 222-6550
Fax
Toxanomy
Taxonomy Code 207R00000X
License State New York
License Number 003119
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According to our database, Karthik Koduru M.D. NPI is 1720241565, taxonomy code is 207R00000X and license number is 003119, license state is located at New York. Karthik Koduru M.D. physically located at Broadway At 11th Street, Quincy IL, 62301. NPI Number Karthik Koduru M.D. has the Individual type.

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1720241565 NPI number is provided on an as is basis without warranty of any kind. 1720241565 is maintained by the National Plan & Provider Enumeration System. The contents of Karthik Koduru M.D. are for informational purposes only.