Koduri, Vivek A

Koduri, Vivek A is an individual health care provider with primary practice located at 2045 N Franklin St , Denver CO 80205-5437. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is his primary health care specialty. Koduri, Vivek A can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
2045 N Franklin St Denver CO 80205-5437
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X TL0006446 Colorado
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X DR.0066641 Colorado

Profile Details

NPI number 1538697347
LBN Legal business name Koduri, Vivek A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2017
Last updated Aug 6th, 2021 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1538697347 NPPES
Colorado Other 029231 KAISER COMMERCIAL NUMBER

Popular Providers