Kodali, Nagendra S

Kodali, Nagendra S is an individual health care provider with primary practice located at 6621 Fannin St , Houston TX 77030-2358. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is his primary health care specialty. Kodali, Nagendra S can be contacted via phone (832) 824-1000.

Contact Information

Primary practice address
6621 Fannin St Houston TX 77030-2358
Phone: (832) 824-1000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X Q1650 Texas
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 058535 Georgia
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X Q1650 Texas

Profile Details

NPI number 1063573103
LBN Legal business name Kodali, Nagendra S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Feb 14th, 2023 - about last year

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 1063573103 NPPES
Texas MEDICAID 342414501
Texas Other 8ET177

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