Koduri, Ramesh B.

Koduri, Ramesh B. is an individual health care provider with primary practice located at 269 Medical Park Blvd , Petersburg VA 23805-9337. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Koduri, Ramesh B. can be contacted via phone (804) 861-0700.

Contact Information

Primary practice address
269 Medical Park Blvd Petersburg VA 23805-9337
Phone: (804) 861-0700
Fax: (804) 863-4626
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Addiction Medicine 2084A0401X 0101024418 Virginia
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 0101024418 Virginia
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X 0101024418 Virginia

Profile Details

NPI number 1609831544
LBN Legal business name Koduri, Ramesh B.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Oct 2nd, 2013 - about 11 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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