Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BRAHMANANDA KIRAN KODURI, M.D
ActiveDR. BRAHMANANDA KIRAN KODURI, M.D is a Pediatric Critical Care Medicine healthcare provider located in GILLETTE, Wyoming. NPI 1659608214 is currently active in the NPPES registry. Verify at CMS.
Pediatric Critical Care Medicine · GILLETTE, WY
Registration Details
- NPI Number
- 1659608214
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 3, 2009 (16.814149990878 yrs)
- Last Updated
- Sep 3, 2013
- License
-
9302A (WY)
Practice Information
- Address
-
501 S BURMA AVEGILLETTE, WY, 827163426Browse WY providers · Browse ZIP 82716
- Phone
- 3076881534
- Primary Specialty
-
Pediatric Critical Care Medicine
2080P0203X
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.