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Divya Koduri, MD
Family Medicine Physician in Alamogordo, New Mexico
NPI 1932849429

Divya Koduri is a Family Medicine Physician based in Alamogordo, NM. Divya Koduri practices in Alamogordo, NM and has the professional credentials of MD. The NPI Number for Divya Koduri is 1932849429 and holds a License No. (New Mexico).

The current practice location address for Divya Koduri is 2539 Medical Dr Ste 105, Alamogordo, NM and can be reached out via phone at 508-471-7499.

Location: 2539 Medical Dr Ste 105, Alamogordo, NM, 88310-8720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1932849429
Provider Name
Divya Koduri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2539 Medical Dr Ste 105, Alamogordo, NM, 88310-8720
Phone Number
508-471-7499
Fax Number
Provider Enumeration Date
03/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2539 Medical Dr Ste 105
City
Alamogordo
State
New Mexico
Zip
88310-8720
Phone Number
508-471-7499
Fax Number
person
Provider Business Mailing Address Details
Address
2539 Medical Dr Ste 105
City
Alamogordo
State
New Mexico
Zip
88310-8720
Phone Number
508-471-7499
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
-
Taxonomy
207Q00000X
License No.
RS2022-0787 (New Mexico)
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
person
Provider's Taxonomy Details 2
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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