Madhusudan Koduri, MD Valid NPI

Individual provider · Psychiatry Physician · Muskogee, OK

NPI

1740203132

Type

Individual (Type 1)

Primary specialty

Psychiatry Physician (Psychiatry & Neurology)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

2084P0800X

License number

18561 (OK)

Sex

Male

Sole proprietor

No

Enumerated

2006-07-26

Last updated

2007-07-08