Kodali, Padmaja
Kodali, Padmaja is an sole proprietor health care provider with primary practice located at 2040 Millburn Ave Suite 403, Maplewood NJ 07040-3726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as her primary health care specialty. Kodali, Padmaja can be contacted via phone (973) 763-1100.Contact Information
Primary practice address
2040 Millburn Ave Suite 403
Maplewood NJ 07040-3726
Phone: (973) 763-1100
Fax: (973) 763-1122
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 25MA06878300 | New Jersey |
Profile Details
| NPI number | 1790747764 |
|---|---|
| LBN Legal business name | Kodali, Padmaja |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 5th, 2006 |
| Last updated | Dec 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790747764 | NPPES |
| New Jersey | MEDICAID | 8348707 |
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