DR. Prasad R Koduru, PHD is a clinical laboratory director and non-physician pathology in Dallas, TX. The provider is an individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405. DR. Prasad R Koduru, PHD NPI is 1508145830. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
6000 HARRY HINES BLVD
DALLAS, TX
ZIP 75235-303
Phone: (214) 645-7000
Fax: (214) 645-7001
The enumeration date for this NPI number is 8/4/2011 and was last updated on 8/4/2011.