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Dr. Prasad R Koduru, PHD
Clinical Laboratory Director (Non-physician) in Dallas, Texas
NPI 1508145830

Prasad R Koduru is a Clinical Laboratory Director (Non-physician) based in Dallas, TX and is specialized in Clinical Laboratory Director, Non-physician. Prasad R Koduru practices in Dallas, TX and has the professional credentials of PHD. The NPI Number for Prasad R Koduru is 1508145830 and holds a License No. PKODU1 (Texas).

The current practice location address for Prasad R Koduru is 6000 Harry Hines Blvd, Dallas, TX and can be reached out via phone at 214-645-7000 and via fax at 214-645-7001.

Location: 6000 Harry Hines Blvd, Dallas, TX, 75235-5303
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508145830
Provider Name
Prasad R Koduru
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
6000 Harry Hines Blvd, Dallas, TX, 75235-5303
Phone Number
214-645-7000
Fax Number
214-645-7001
Provider Enumeration Date
08/04/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6000 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75235-5303
Phone Number
214-645-7000
Fax Number
214-645-7001
person
Provider Business Mailing Address Details
Address
6000 Harry Hines Blvd
City
Dallas
State
Texas
Zip
75235-5303
Phone Number
214-645-7000
Fax Number
214-645-7001
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
()
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Medical Genetics
Speciality
Clinical Cytogenetics
Taxonomy
207SC0300X
License No.
PKODU1 (New York)
Definition
A clinical cytogeneticist demonstrates competence in providing laboratory diagnostic and clinical interpretive services dealing with cellular components, particularly chromosomes, associated with heredity.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Pathology
Speciality
Molecular Genetic Pathology
Taxonomy
207ZP0007X
License No.
PKODU1 (New York)
Definition
A molecular genetic pathologist is expert in the principles, theory and technologies of molecular biology and molecular genetics. This expertise is used to make or confirm diagnoses of Mendelian genetic disorders, disorders of human development, infectious diseases and malignancies, and to assess the natural history of those disorders. A molecular genetic pathologist provides information about gene structure, function and alteration and applies laboratory techniques for diagnosis, treatment and prognosis for individuals with related disorders.
person
Provider's Taxonomy Details 4
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
PKODU1 (New York)
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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