BHAVYASRI KODALI

RIVERDALE, GA
NPI1912751173
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207R00000X Internal Medicine
(Licence: GA  1912751173)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2024-04-15
Last Update Date2024-06-04
Business Address
BHAVYASRI KODALI
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-991-8570
Mailing Address
BHAVYASRI KODALI
11 UPPER RIVERDALE RD SW
RIVERDALE, GA 30274-2615
Phone number: 770-991-8570