DR. PRASAD R KODURU PHD NPI 1508145830

NPI Information

NPI: 1508145830
Provider Name: DR. PRASAD R KODURU, PHD
Classification: Pathology - 247ZC0005X
Entity Type: Individual

Specialization: Clinical Laboratory Director, Non-physician

Address:
6000 HARRY HINES BLVD
DALLAS, TX
ZIP 75235
Phone: (214) 645-7000
Get Directions

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.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		PKODU1	NEW YORK	No
2	207SC0300X	Medical Genetics	Clinical Cytogenetics	PKODU1	NEW YORK	No
3	207ZP0007X	Pathology	Molecular Genetic Pathology	PKODU1	NEW YORK	No
4	247ZC0005X	Pathology	Clinical Laboratory Director, Non-physician			Yes

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

NPI Synchronization or Removal

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