Kalyani Koduri (NPI# 1982634200, PAC ID# 4082681523) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1982634200 |
| PAC ID by PECOS | 4082681523 |
| Professional Enrollment ID | I20040914000406 |
| Full Name | Kalyani Koduri |
| Organization Legal Name | TEXAS ESS HOSPITALIST PA |
| Address |
200 S Geneva St Breckenridge TX 76424-4702 |
| Phone Number | 2545592241 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1987 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 8921248162 |
| Number of Group Practice Members | 9 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 450508 | MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 200 S Geneva St, Breckenridge, TX 76424-4702 | 2545592241 | TEXAS ESS HOSPITALIST PA |
| Organization Legal Name | TEXAS ESS HOSPITALIST PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vijay K Koduri | Emergency Medicine | Texas Ess Hospitalist Pa | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| David Andrew Thomas | Family Practice | Texas Ess Hospitalist Pa | 1204 N Mound St, Nacogdoches, TX 75961-4027 |
| Street Address |
200 S GENEVA ST |
| City | BRECKENRIDGE |
| State | TX |
| Zip | 76424-4702 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Steven M Wiese | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Joseph A Ouma | Emergency Medicine | Stephens Memorial Hospital District | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| David N Whitten | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ren Zhang | Cardiovascular Disease (cardiology) | Hendrick Provider Network | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Orlando K Beckum | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Christopher Oguayo | Internal Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Adel Gindy | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Jose A Rodriguez | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| John S Howell | Emergency Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Ahmed A Mattar | Family Medicine | Concord Medical Group of Texas Pllc | 200 S Geneva St, Breckenridge, TX 76424-4702 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Wade B Toombs | Optometry | 1510 W Walker St, Breckenridge, TX 76424-3230 | |
| Brian E Masters | Chiropractic | 1224 W Walker St, Breckenridge, TX 76424-3342 | |
| Jeanene Renee Poston | Clinical Social Worker | 117 E Walker St, Breckenridge, TX 76424-3624 | |
| Marcela Martinez | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Diana Lee Price | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Sandra Usaiwevu | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cortney Rachelle Berkley | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Carol Lynn Copelin | Nurse Practitioner | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Cynthia A Perry | Internal Medicine | Shackelford County Community Resource Center | 2802 W Walker St, Breckenridge, TX 76424-4000 |
| Jim T Lawrence | General Practice | 1000 E Williams, J.t. Lawrence M.d., Breckenridge, TX 76424-4624 | |
| Find all physicians in zip 76424 | |||
| City | BRECKENRIDGE |
| Zip Code | 76424 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | BRECKENRIDGE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Kalyani Koduri.
| 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.