Koduri, Vidyasagar

Koduri, Vidyasagar is an individual health care provider with primary practice located at 75 Francis St , Boston MA 02115-6110. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Koduri, Vidyasagar can be contacted via phone (617) 796-7170.

Contact Information

Primary practice address
75 Francis St Boston MA 02115-6110
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X 252864 Massachusetts

Profile Details

NPI number 1043448293
LBN Legal business name Koduri, Vidyasagar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 26th, 2009
Last updated Mar 6th, 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.

Request for update

Popular Providers