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Dr. Beaula V Koduri, MD
Hematology & Oncology Physician in Edison, New Jersey
NPI 1972505311

Beaula V Koduri is a Hematology & Oncology Physician based in South Plainfield, NJ and is specialized in Hematology & Oncology. 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 (New Jersey).

The current practice location address for Beaula V Koduri is 2110 Oak Tree Road, Edison, NJ and can be reached out via phone at 732-483-4501 and via fax at 732-483-4502. You can also correspond with Beaula V Koduri through the mailing address at PO BOX 1177, SOUTH PLAINFIELD, NJ - 07080-9177 (mailing address contact number: 732-483-4501).

Location: 2110 Oak Tree Road, Edison, NJ, 07080-9177
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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, 07080-9177
Phone Number
732-483-4501
Fax Number
732-483-4502
Provider Enumeration Date
08/15/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0140562 05 NJ
institution
Provider Business Practice Location Address Details
Address
2110 Oak Tree Road
City
State
Zip
08820-3626
Phone Number
732-483-4501
Fax Number
732-483-4502
person
Provider Business Mailing Address Details
Address
2110 Oak Tree Road
City
State
Zip
08820-3626
Phone Number
732-483-4501
Fax Number
732-483-4502
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Hematology & Oncology
Taxonomy
License No.
25MA08158600 (New Jersey)
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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