Dr. Sobha R Koduru, MD
Hospitalist in Newark, New Jersey
1114232428- Practice location
- 150 Bergen St # Uhh-245, Newark, NJ 07103
- Phone
- 973-972-5672
- Fax
- 973-972-0365
- Last updated
- February 22, 2022
Sobha R. Koduru is a Hospitalist based in Newark, NJ. Sobha R. Koduru practices in Newark, NJ and has the professional credentials of MD. The NPI Number for Sobha R. Koduru is 1114232428 and holds a License No. 48189 (AZ). The current practice location address for Sobha R. Koduru is 150 Bergen St # Uhh-245, Newark, NJ 07103 and can be reached out via phone at 973-972-5672 and via fax at 973-972-0365.
Provider Profile Details
- NPI Number
- 1114232428
- Provider Name
- Sobha R. Koduru
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 150 Bergen St # Uhh-245, Newark, NJ 07103
- Phone Number
- 973-972-5672
- Fax Number
- 973-972-0365
- Primary Taxonomy
- Hospitalist · 208M00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 11, 2010
- Last Update Date
- February 22, 2022
- Certification Date
- February 22, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 150 Bergen St # Uhh-245
Newark, NJ 07103 - City
- Newark
- State
- New Jersey
- Zip
- 07103
- Phone Number
- 973-972-5672
- Fax Number
- 973-972-0365
Provider Business Mailing Address Details
- Address
- 30 Bergen Street
Building 12 Room 1205
Newark, NJ 07107-3000 - City
- Newark
- State
- NJ
- Zip
- 07107-3000
- Phone Number
- 973-972-0037
- Fax Number
- 973-972-0743
License Information
- License Number (1)
- 48189
- License State (1)
- AZ
- Taxonomy (1)
- Internal Medicine · 207R00000X
- License Number (2)
- 48189
- License State (2)
- AZ
- Taxonomy (2)
- Hospitalist · 208M00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Sobha R Koduru, MD?
The NPI number of Dr. Sobha R Koduru, MD is 1114232428. It was assigned on August 11, 2010 and is currently active in the NPPES registry.
What is the specialty of Dr. Sobha R Koduru, MD?
Dr. Sobha R Koduru, MD is registered under the primary taxonomy Hospitalist (code 208M00000X), licensed in AZ under license number 48189.
Where does Dr. Sobha R Koduru, MD practice?
The practice location is 150 Bergen St # Uhh-245, Newark, NJ 07103. The office can be reached at 973-972-5672 (phone) or 973-972-0365 (fax).
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 1114232428 directly on the NPPES registry website.