Koduru, Prasad R

Koduru, Prasad R is an sole proprietor health care provider with primary practice located at 6000 Harry Hines Blvd , Dallas TX 75235-5303. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cytogenetic, Allopathic & Osteopathic Physicians / Molecular Genetic Pathology, Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician. Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician is his primary health care specialty. Koduru, Prasad R can be contacted via phone (214) 645-7000.

Contact Information

Primary practice address
6000 Harry Hines Blvd Dallas TX 75235-5303
Phone: (214) 645-7000
Fax: (214) 645-7001
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X PKODU1 New York
Allopathic & Osteopathic Physicians / Clinical Cytogenetic 207SC0300X PKODU1 New York
Allopathic & Osteopathic Physicians / Molecular Genetic Pathology 207ZP0007X PKODU1 New York
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X

Profile Details

NPI number 1508145830
LBN Legal business name Koduru, Prasad R
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 4th, 2011
Last updated Aug 4th, 2011 - 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.

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