Vidyasagar Koduri MD

NPI 1043448293 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1043448293
Gender Male
Enumeration Date 06/26/2009
Last Updated 06/26/2009
Entity Type Individual
Active Over 7 years ago
Practice Location
75 FRANCIS ST
BOSTON MA, 02115-6110, US
Phone (617) 796-7170
Fax
Business Location
41 CENTRE ST
APT 204
BROOKLINE MA, 02446-2850, US
Phone
Fax
Toxanomy
Taxonomy Code 390200000X
License State Massachusetts
License Number 241500
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According to our database, Vidyasagar Koduri MD NPI is 1043448293, taxonomy code is 390200000X and license number is 241500, license state is located at Massachusetts. Vidyasagar Koduri MD physically located at 75 Francis St, Boston MA, 02115-6110. NPI Number Vidyasagar Koduri MD has the Individual type.

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1043448293 NPI number is provided on an as is basis without warranty of any kind. 1043448293 is maintained by the National Plan & Provider Enumeration System. The contents of Vidyasagar Koduri MD are for informational purposes only.