Kodali, Leena R.

Kodali, Leena R. is an individual health care provider with primary practice located at 8264 Highway 6 Loop , Navasota TX 77868-3292. She recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as her primary health care specialty. Kodali, Leena R. can be contacted via phone (979) 207-6100.

Contact Information

Primary practice address
8264 Highway 6 Loop Navasota TX 77868-3292
Phone: (979) 207-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X D67788 Maryland
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X Q9178 Texas

Profile Details

NPI number 1306045679
LBN Legal business name Kodali, Leena R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Feb 20th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306045679 NPPES
Maryland MEDICAID 415877600

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