Sudha Koduru is a Internal Medicine in Petersburg, Virginia. Sudha Koduru practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Sudha Koduru is 1073772455. The last update date is 2015-04-06.
Sudha Koduru's current location address is 200 Medical Park Blvd, Petersburg, Virginia. You can contact this provider via phone number 8047655991. The mailing address for Sudha Koduru is 200 Medical Park Blvd, Petersburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sudha Koduru |
|---|---|
| Address | 200 Medical Park Blvd, Petersburg, Virginia |
| Phone Number | 8047655991 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1073772455 |
|---|---|
| Provider Enumeration Date | 2008-06-02 |
| Last Updated Date | 2015-04-06 |
Provider Mailing Address Detail
| Address | 200 Medical Park Blvd |
|---|---|
| City | Petersburg |
| State | Virginia (VA) |
| Post Code | 238059274 |
| Phone Number | 8047655991 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 1012500380 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the Sudha Koduru's 1073772455?
The Sudha Koduru's NPI (National Provider Identifier) Number is 1073772455. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sudha Koduru's facilities are geographically located?
The facilities of Sudha Koduru are physically situated at the following location: 200 Medical Park Blvd, Petersburg, VA, 238059274.
What is Sudha Koduru's area of expertise and its corresponding taxonomy classification?
The Sudha Koduru's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
When was the Sudha Koduru's 1073772455 issued?
The Sudha Koduru's 1073772455 was issued on 2008-06-02.
As of what date was the information regarding Sudha Koduru, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Sudha Koduru, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-04-06.
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