Dr. Padmaja Kodali, MD
Internal Medicine, Nephrology in Maplewood, NJ. Individual provider (NPI-1).
NPI number1790747764
StatusActive
Last updated in NPPESDec 17, 2012
Details
- NPI
- 1790747764
- Entity type
- Individual (NPI-1)
- Name
- Dr. Padmaja Kodali
- Credential
- MD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 5, 2006
- Last updated
- Dec 17, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 25MA06878300 | NJ | Yes |
Practice location
2040 Millburn AveSuite 403
Maplewood, NJ 07040-3726
Phone 973-763-1100 · Fax 973-763-1122
Mailing address
2040 Millburn AveSuite 403
Maplewood, NJ 07040-3726
Phone 973-763-1100 · Fax 973-763-1122
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