DR. VALLI P. KODALI (NPI# 1609809920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609809920 |
| Entity Type | Individual |
| Full Name | DR. VALLI P. KODALI |
| Credential | M.D. |
| Practice Address |
2041 Valleygate Dr Fayetteville NC 28304-3688 |
| Mailing Address |
290 Royal Sunset Dr Durham NC 27713-7440 |
| Practice Telephone | 9103235203 |
| Practice Fax Number | 9102231621 |
| Mailing Telephone | 9195441477 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
35010 | NC | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8949976 | 05 | |
| CIGNA | 0329849-001 | 01 | |
| BCBS | 49976 | 01 |
| Street Address |
2041 VALLEYGATE DR |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-3688 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922080944 | Jill Rys | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2005-11-16 |
| 1720545130 | Jennifer Renee Thomas | Nurse Practitioner | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2019-02-22 |
| 1962869446 | Fayetteville Gastroenterology Endoscopy Center, LLC | Clinic/Center | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2016-01-28 |
| 1720324403 | Catherine Ewing Doss | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2012-12-27 |
| 1609013275 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2041 Valleygate Dr, Suite 101, Fayetteville, NC 28304-3745 | 2009-01-19 |
| 1669620720 | Jbv Anesthesiology Associates, Pllc | Contractor | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-09-03 |
| 1982866620 | Christina Beard | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-06-25 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1417141623 | Fayetteville Gastroenterology Associates, P.a. | Clinic/Center | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2007-08-30 |
| 1316130867 | Kathryn Vreeland Locklear | Physician Assistant | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2007-08-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114482379 | Medical Associates of Northwest Arkansas Pa | Internal Medicine | 3344 N Futrall Dr Ste B, Fayetteville, AR 72703-4057 | 2019-02-01 |
| 1376638940 | Eden Agustin Suguitan | Internal Medicine | 4361 Ferncreek Drive, Fayetteville, NC 28314 | 2006-10-03 |
| 1053315820 | John E Burney | Internal Medicine | 1265 Highway 54 W, Ste 402, Fayetteville, GA 30214-4537 | 2005-06-09 |
| 1700287869 | Cumberland County Hospital System, Inc. | Internal Medicine | 1638 Owen Dr, Attn: Managed Care Planning, Fayetteville, NC 28304-3424 | 2014-09-09 |
| 1053612069 | Kevin J O'keefe | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703 | 2010-11-07 |
| 1790963759 | Joseph Bernard Henderson | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3745 | 2008-02-01 |
| 1174707897 | John D Moore | Internal Medicine | 3344 N Futrall Dr, Fayetteville, AR 72703-4057 | 2007-12-18 |
| 1619186228 | Niraj Khandelwal | Internal Medicine | 1265 Highway 54 W, Suite 402, Fayetteville, GA 30214-4548 | 2007-05-21 |
| 1508882325 | Arvind Kumar | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| 1487670287 | John Richard Jones | Internal Medicine | 2041 Valleygate Dr, Fayetteville, NC 28304-3688 | 2006-07-14 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
Please comment or provide details below to improve the information on DR. VALLI P. KODALI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.