Active NPIIndividual provider

Tea Kodua, MD

Internal Medicine in Greenfield, Massachusetts

NPI Number1023290525
Practice location
164 High St, Greenfield, MA 01301-2613
Fax
—
Last updated
July 8, 2016

Tea Kodua is an Internal Medicine based in Greenfield, MA. Tea Kodua practices in Greenfield, MA and has the professional credentials of MD. The NPI Number for Tea Kodua is 1023290525 and holds a License No. 236056 (MA). The current practice location address for Tea Kodua is 164 High St, Greenfield, MA 01301-2613 and can be reached out via phone at 413-772-0211.

Provider Profile Details

NPI Number
1023290525
Provider Name
Tea Kodua
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
164 High St, Greenfield, MA 01301-2613
Phone Number
413-772-0211
Primary Taxonomy
Internal Medicine · 207R00000X
Sole Proprietor
No
Provider Enumeration Date
November 27, 2007
Last Update Date
July 8, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
164 High St
Greenfield, MA 01301-2613
Zip
01301-2613
Phone Number
413-772-0211
Greenfield, MA 01301Get directions →

Provider Business Mailing Address Details

Address
280 Chestnut St
2ND Floor
Springfield, MA 01199-1001
City
Springfield
State
MA
Zip
01199-1001
Phone Number
413-794-5700

License Information

License Number (1)
236056
License State (1)
MA
Taxonomy (1)
Hospitalist · 208M00000X
License Number (2)
236056
License State (2)
MA
Taxonomy (2)
Internal Medicine · 207R00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tea Kodua, MD?

The NPI number of Tea Kodua, MD is 1023290525. It was assigned on November 27, 2007 and is currently active in the NPPES registry.

What is the specialty of Tea Kodua, MD?

Tea Kodua, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 236056.

Where does Tea Kodua, MD practice?

The practice location is 164 High St, Greenfield, MA 01301-2613. The office can be reached at 413-772-0211 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1023290525 directly on the NPPES registry website.

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