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

SURESH BABU KODALI, M.D.

Active Sole Proprietor

SURESH BABU KODALI, M.D. is a Psychiatry healthcare provider located in ELIZABETHTOWN, Kentucky. NPI 1548352156 is currently active in the NPPES registry. Verify at CMS.

Psychiatry · ELIZABETHTOWN, KY

Registration Details

NPI Number
1548352156
Provider Type
Individual
Gender
Male
NPI Issued
Sep 29, 2006 (19.839560790308 yrs)
Last Updated
Sep 27, 2011
License
24553 (KY)
Sole Proprietor
Yes

Practice Information

Address
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY, 427012866
Browse KY providers · Browse ZIP 42701
Phone
2707661234
Fax
2707661144
Primary Specialty
Psychiatry
2084P0800X

Other Psychiatry Providers in ELIZABETHTOWN, KY

Name Credential NPI
THOMAS BROWN MD 1578569315
CARMEN PINTO M.D. 1306887500
NAVINCHANDRA RAMJI SHAH M.D. 1427140359
DR. IMRAN JAVED IQBAL M.D. 1306070040
DR. SHARAD C. PATEL M.D. 1639473572
SUFIAN AHMAD MD 1821352824
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.