Koduru, Sobha R.

Koduru, Sobha R. is an individual health care provider with primary practice located at 150 Bergen St # Uhh-245 , Newark NJ 07103. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Koduru, Sobha R. can be contacted via phone (973) 972-5672.

Contact Information

Primary practice address
150 Bergen St # Uhh-245 Newark NJ 07103
Phone: (973) 972-5672
Fax: (973) 972-0365
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 48189 Arizona
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 48189 Arizona

Profile Details

NPI number 1114232428
LBN Legal business name Koduru, Sobha R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2010
Last updated Feb 22nd, 2022 - about 4 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 1114232428 NPPES
Arizona MEDICAID 845863
Arizona MEDICAID 0595403

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