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DR. VIJAYA MADHAVI KODURI MBBS NPI 1558672253


NPI Information

NPI: 1558672253
Provider Name: DR. VIJAYA MADHAVI KODURI, MBBS
Classification: Pediatrics - 208000000X
Entity Type: Individual

PECOS Registration: Yes

Address:
501 S. BURMA AVE.
GILLETTE, WY
ZIP 82716
Phone: (307) 688-3636
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DR. Vijaya Madhavi Koduri, MBBS is a pediatrics in Gillette, WY. The provider is a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. DR. Vijaya Madhavi Koduri, MBBS NPI is 1558672253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

501 S. BURMA AVE.
GILLETTE, WY
ZIP 82716-246
Phone: (307) 688-3636
Fax: (307) 688-3079

The NPI 1558672253 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/28/2010 and was last updated on 12/30/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208000000XPediatrics9303AWYOMINGYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.