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

DR. SRINIVASA RAO KODALI

Active Sole Proprietor

DR. SRINIVASA RAO KODALI is a Psychiatry healthcare provider located in LIVONIA, Michigan. NPI 1255372058 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · LIVONIA, MI

Registration Details

NPI Number
1255372058
Provider Type
Individual
Gender
Male
NPI Issued
Jun 10, 2006 (20.204100427636 yrs)
Last Updated
Nov 4, 2015
Licenses
4301049890 (MI)
4301049890 (MI)
4301049890 (MI)
Sole Proprietor
Yes

Practice Information

Address
17940 FARMINGTON ROAD
SUITE 230
LIVONIA, MI, 481523194
Browse MI providers · Browse ZIP 48152
Phone
7344224748
Fax
7344225076
Primary Specialty
Psychiatry
2084P0800X
Additional Specialty
Psychiatry & Neurology
Additional Specialty
Geriatric Psychiatry

Other Psychiatry Providers in LIVONIA, MI

Name Credential NPI
KANCHANA MALA MADHAVAN MD 1811996242
DR. JORGE SALUSTIO ZUNIGA M.D. 1689638140
DR. SUHASINI S MISTRY M.D. 1609831825
CHALAKUDY V RAMAKRISHNA MD PC 1295790442
DR. LESLEE A EMERSON D.O. 1205893013
ELIZABETH LANE MCCULLOUGH MD 1649227802
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.