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Dr. Srinivas Kodali, MD
Hematology & Oncology Physician in Beaumont, Texas
NPI 1295979813

Srinivas Kodali is a Hematology & Oncology Physician based in Dallas, TX and is specialized in Hematology & Oncology. Srinivas Kodali practices in Beaumont, TX and has the professional credentials of MD. The NPI Number for Srinivas Kodali is 1295979813 and holds a License No. N1713 (Texas).

The current practice location address for Srinivas Kodali is 3070 College St Ste 301, Beaumont, TX and can be reached out via phone at 409-813-1686 and via fax at 409-813-3052.

Location: 3070 College St Ste 301, Beaumont, TX, 75391-1230
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295979813
Provider Name
Srinivas Kodali
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
3070 College St Ste 301, Beaumont, TX, 75391-1230
Phone Number
409-813-1686
Fax Number
409-813-3052
Provider Enumeration Date
04/27/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8BZ885 01 TX BCBS
202324401 05 TX
P00725231 01 TX RAILROAD MEDICARE
202324402 05 TX
institution
Provider Business Practice Location Address Details
Address
3070 College St Ste 301
City
Beaumont
State
Texas
Zip
77701-4688
Phone Number
409-813-1686
Fax Number
409-813-3052
person
Provider Business Mailing Address Details
Address
3070 College St Ste 301
City
Beaumont
State
Texas
Zip
77701-4688
Phone Number
409-813-1686
Fax Number
409-813-3052
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
207RH0003X
License No.
N1713 (Texas)
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
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