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1548352156
SURESH BABU KODALI
ELIZABETHTOWN, KY
NPI
1548352156
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: KY 24553)
Enumeration Date
2006-09-29
Last Update Date
2011-09-27
Business Address
-- SURESH BABU KODALI M.D.
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701-2866
Phone number: 270-766-1234
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Mailing Address
-- SURESH BABU KODALI M.D.
708 WESTPORT RD STE 103
ELIZABETHTOWN, KY 42701-2866
Phone number: 270-766-1234
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