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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANTHISRI KODALI, MD

Active

SANTHISRI KODALI, MD is a Clinical Cardiac Electrophysiology healthcare provider located in HANNIBAL, Missouri. NPI 1114210390 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · HANNIBAL, MO

Registration Details

NPI Number
1114210390
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2011 (15.264763440667 yrs)
Last Updated
Jul 18, 2023
Licenses
2023025438 (MO)
BP10040647 (TX)
S4010 (TX)
2023025438 (MO)
S4010 (TX)

Practice Information

Address
6500 HOSPITAL DR
HANNIBAL, MO, 634016890
Browse MO providers · Browse ZIP 63401
Phone
5736293500
Fax
5736293314
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Internal Medicine
Additional Specialty
Cardiovascular Disease
Additional Specialty
Cardiovascular Disease
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.