Prasad Koduru, PHD

NPI 1508145830 · on the registry since 2011 · sole proprietor

Practice

Address: 6000 Harry Hines Blvd
Dallas, TX 75235
Phone: (214) 645-7000
Fax: (214) 645-7001
Organisation at this address: Genetic Diagnostics
Genetic Diagnostic Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 4

Registry record

Primary taxonomy: 247ZC0005X
247ZC0005X
Also registered as: 174400000X
207SC0300X
207ZP0007X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2011-08-04

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas