Koduri, Vijaya Madhavi
Koduri, Vijaya Madhavi is an individual health care provider with primary practice located at 1252 N 22Nd St , Laramie WY 82072-5306. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Koduri, Vijaya Madhavi can be contacted via phone (307) 745-3704.Contact Information
Primary practice address
1252 N 22Nd St
Laramie WY 82072-5306
Phone: (307) 745-3704
Fax: (307) 745-7237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9303A | Wyoming |
Profile Details
| NPI number | 1558672253 |
|---|---|
| LBN Legal business name | Koduri, Vijaya Madhavi |
| Credentials | MBBS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 28th, 2010 |
| Last updated | Aug 31st, 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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