| NPI Details | |
|---|---|
| NPI | 1245302066 |
| Gender | Female |
| Enumeration Date | 11/15/2006 |
| Last Updated | 02/27/2009 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 1600 EUREKA RD ROSEVILLE CA, 95661-3027, US |
|
| Phone | (916) 784-4000 |
| Fax | |
| Business Location | |
|---|---|
| 1800 HARRISON ST FL 7 OAKLAND CA, 94612-3429, US |
|
| Phone | (510) 625-6262 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2080P0206X |
| License State | California |
| License Number | A79521 |
| Remove 1245302066 NPI Number | |
According to our database, Pratima Kodali MD NPI is 1245302066, taxonomy code is 2080P0206X and license number is A79521, license state is located at California. Pratima Kodali MD physically located at 1600 Eureka Rd, Roseville CA, 95661-3027. NPI Number Pratima Kodali MD has the Individual type.
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1245302066 NPI number is provided on an as is basis without warranty of any kind. 1245302066 is maintained by the National Plan & Provider Enumeration System. The contents of Pratima Kodali MD are for informational purposes only.
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