Active NPIIndividual provider

Dr. Beaula V Koduri, MD

Internal Medicine, Hematology & Oncology in Edison, New Jersey

NPI Number1972505311
Practice location
2110 Oak Tree Road, Edison, NJ 08820-3626
Fax
732-483-4502
Last updated
September 23, 2014

Beaula V Koduri is an Internal Medicine, Hematology & Oncology based in Edison, NJ. Beaula V Koduri practices in Edison, NJ and has the professional credentials of MD. The NPI Number for Beaula V Koduri is 1972505311 and holds a License No. 25MA08158600 (NJ). The current practice location address for Beaula V Koduri is 2110 Oak Tree Road, Edison, NJ 08820-3626 and can be reached out via phone at 732-483-4501 and via fax at 732-483-4502.

Provider Profile Details

NPI Number
1972505311
Provider Name
Beaula V Koduri
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
2110 Oak Tree Road, Edison, NJ 08820-3626
Phone Number
732-483-4501
Fax Number
732-483-4502
Primary Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X
Sole Proprietor
No
Provider Enumeration Date
August 15, 2005
Last Update Date
September 23, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2110 Oak Tree Road
Edison, NJ 08820-3626
City
Edison
Zip
08820-3626
Phone Number
732-483-4501
Fax Number
732-483-4502
Edison, NJ 08820Get directions →

Provider Business Mailing Address Details

Address
Po Box 1177
South Plainfield, NJ 07080-9177
City
South Plainfield
State
NJ
Zip
07080-9177
Phone Number
732-483-4501
Fax Number
732-483-4502

License Information

License Number
25MA08158600
License State
NJ
Taxonomy
Internal Medicine, Hematology & Oncology · 207RH0003X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Beaula V Koduri, MD?

The NPI number of Dr. Beaula V Koduri, MD is 1972505311. It was assigned on August 15, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Beaula V Koduri, MD?

Dr. Beaula V Koduri, MD is registered under the primary taxonomy Internal Medicine, Hematology & Oncology (code 207RH0003X), licensed in NJ under license number 25MA08158600.

Where does Dr. Beaula V Koduri, MD practice?

The practice location is 2110 Oak Tree Road, Edison, NJ 08820-3626. The office can be reached at 732-483-4501 (phone) or 732-483-4502 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1972505311 directly on the NPPES registry website.

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