Kodali, Srinivas

Kodali, Srinivas is an individual health care provider with primary practice located at 3070 College St Ste 301 , Beaumont TX 77701-4688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Kodali, Srinivas can be contacted via phone (409) 813-1686.

Contact Information

Primary practice address
3070 College St Ste 301 Beaumont TX 77701-4688
Phone: (409) 813-1686
Fax: (409) 813-3052
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X N1713 Texas

Profile Details

NPI number 1295979813
LBN Legal business name Kodali, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2009
Last updated Jun 27th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295979813 NPPES
Texas Other 8BZ885 BCBS
Texas MEDICAID 202324401 BCBS
Texas Other P00725231 BCBS
Texas MEDICAID 202324402 BCBS

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