Leena Kodali (NPI# 1306045679, PAC ID# 0042370793) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1306045679 |
| PAC ID by PECOS | 0042370793 |
| Professional Enrollment ID | I20160729000379 |
| Full Name | Leena Kodali |
| Organization Legal Name | ST JOSEPH REGIONAL HEALTH CENTER |
| Address |
1612 W Villa Maria Rd 130 Chi St Joseph Health Primary Care Bryan TX 77807-2310 |
| Phone Number | 9796904836 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | GERIATRIC MEDICINE |
| Group Practice PAC ID | 5294727921 |
| Number of Group Practice Members | 148 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450011 | CHI ST JOSEPH HEALTH |
| 450187 | BAYLOR SCOTT & WHITE MEDICAL CENTER - BRENHAM |
| Address | Phone | Organization |
|---|---|---|
| 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 | 9796904836 | ST JOSEPH REGIONAL HEALTH CENTER |
| Organization Legal Name | ST JOSEPH REGIONAL HEALTH CENTER |
| Physicians | 124 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Darryl Wayne Peterson | Orthopedic Surgery | St Joseph Regional Health Center | 2803 Earl Rudder Fwy S 103, Chi St Joseph Health Orthopedic Associates, College Station, TX 77845-6099 |
| Kelly Mcdonald | Family Medicine | St Joseph Regional Health Center | 110 Hwy 290 W, Chi St Joseph Health Express Care, Brenham, TX 77833-9165 |
| Anne L Moser | Family Medicine | St Joseph Regional Health Center | 4421 State Hwy 6 S, Suite 100, College Station, TX 77845-6176 |
| Kai Wang | Qualified Audiologist | St Joseph Regional Health Center | 2805 Earl Rudder Fwy S, Chi St Joseph Hlth Ent Assoc, College Station, TX 77845-6080 |
| Jason Hoover | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Ali Daftarian | Pain Management | St Joseph Regional Health Center | 3841 Sagebriar Dr, Bryan, TX 77802-6107 |
| Ume Haney Kakwan | Family Medicine | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Martha L Hare | Nurse Practitioner | St Joseph Regional Health Center | 711 Church Ave, Suite 101, College Station, TX 77840-3829 |
| Elizabeth Varley | Nurse Practitioner | St Joseph Regional Health Center | 8465 N Hwy 77, Chi St Joseph Health Primary Care, Lexington, TX 78947-5354 |
| Eric C South | Family Medicine | St Joseph Regional Health Center | 2410 Boonville Rd, Bryan, TX 77808-2226 |
| Street Address |
1612 W VILLA MARIA RD 130 CHI ST JOSEPH HEALTH PRIMARY CARE |
| City | BRYAN |
| State | TX |
| Zip | 77807-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nanette Reyes Dacumos | Family Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Patricia Sammarelli | Family Medicine | St Joseph Regional Health Center | 1612 W Villa Maria Rd, 130 Chi St Joseph Health Primary Care, Bryan, TX 77807-2310 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Judy J Hughes | Optometry | 643 N Harvey Mitchell Pkwy, Bryan, TX 77807-1012 | |
| Ume Haney Kakwan | Family Medicine | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Cheryl D Foster | Nurse Practitioner | St Joseph Regional Health Center | 3989 N Shore Dr, Chi St Joseph Health Maturewell, Bryan, TX 77807-1491 |
| Jason Hoover | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Jonathan A Friedman | Neurosurgery | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Mallory P Neill | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Morgan Kimberly Shipley | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Leonide Gerard Toussaint | Neurosurgery | St Joseph Regional Health Center | 8441 State Hwy 47, Suite 4300, Bryan, TX 77807-3235 |
| Genevieve Lois Gourlay | Physician Assistant | Clinical Neuroscience Services Pllc | 8441 State Hwy 47 4300, Bryan, TX 77807-3235 |
| Anne Marie Eschberger | Family Medicine | Scott and White Clinic | 2612 W Villa Maria Rd, Baylor Scott and White Clinic Bryan, Bryan, TX 77807-4867 |
| Find all physicians in zip 77807 | |||
| City | BRYAN |
| Zip Code | 77807 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRYAN + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Leena Kodali.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.