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Dr. Brahmananda Kiran Koduri, MD
Pediatric Critical Care Medicine Physician in Gillette, Wyoming
NPI 1659608214

Brahmananda Kiran Koduri is a Pediatric Critical Care Medicine Physician based in Gillette, WY and is specialized in Pediatric Critical Care Medicine. Brahmananda Kiran Koduri practices in Gillette, WY and has the professional credentials of MD. The NPI Number for Brahmananda Kiran Koduri is 1659608214 and holds a License No. 9302A (Wyoming).

The current practice location address for Brahmananda Kiran Koduri is 501 S Burma Ave, Gillette, WY and can be reached out via phone at 307-688-1534. You can also correspond with Brahmananda Kiran Koduri through the mailing address at 4516 RUNNING W DR APT 101, GILLETTE, WY - 82718-2033 (mailing address contact number: 609-216-0537).

Location: 501 S Burma Ave, Gillette, WY, 82718-2033
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659608214
Provider Name
Brahmananda Kiran Koduri
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
501 S Burma Ave, Gillette, WY, 82718-2033
Phone Number
307-688-1534
Fax Number
Provider Enumeration Date
11/03/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
501 S Burma Ave
City
Gillette
State
Wyoming
Zip
82716-3426
Phone Number
307-688-1534
Fax Number
person
Provider Business Mailing Address Details
Address
501 S Burma Ave
City
Gillette
State
Wyoming
Zip
82716-3426
Phone Number
307-688-1534
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
Pediatric Critical Care Medicine
Taxonomy
2080P0203X
License No.
9302A (Wyoming)
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
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