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Ajit Kumar Koduri, MD
Student in an Organized Health Care Education/Training Program in Humble, Texas
NPI 1164165742

Ajit Kumar Koduri is a Student in an Organized Health Care Education/Training Program based in Humble, TX. Ajit Kumar Koduri practices in Humble, TX and has the professional credentials of MD. The NPI Number for Ajit Kumar Koduri is 1164165742 and holds a License No. (Texas).

The current practice location address for Ajit Kumar Koduri is 14510 Lindale Rose Ln, Humble, TX and can be reached out via phone at 832-722-4981.

Location: 14510 Lindale Rose Ln, Humble, TX, 77396-4280
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1164165742
Provider Name
Ajit Kumar Koduri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
14510 Lindale Rose Ln, Humble, TX, 77396-4280
Phone Number
832-722-4981
Fax Number
Provider Enumeration Date
04/20/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14510 Lindale Rose Ln
City
Humble
State
Texas
Zip
77396-4280
Phone Number
832-722-4981
Fax Number
person
Provider Business Mailing Address Details
Address
14510 Lindale Rose Ln
City
Humble
State
Texas
Zip
77396-4280
Phone Number
832-722-4981
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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