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Search › Wyoming › 2080P0203X

Brahmananda Koduri, M.D

NPI 1659608214 · on the registry since 2009

Practice

Address
501 S Burma Ave
Gillette, WY 82716
Phone
(307) 688-1534
Organisation at this address
Gillette Medical Imaging P.C.
Community Mental Health Services
Community Mental Health Services
Campbell County Hospital District
Campbell County Hospital District
Inferred from a shared address, not stated in the registry.
Clinicians at this address
122

Registry record

Primary taxonomy
2080P0203X
2080P0203X
Licence states on file
WY
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2013-09-03

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 Wyoming