| Dr Sobha R Koduru, MD | |
|
150 Bergen St # Uhh-245, Newark, NJ 07103 | |
| (973) 972-5672 | |
| (973) 972-0365 |
| Full Name | Dr Sobha R Koduru |
|---|---|
| Gender | Female |
| Speciality | Hospitalist |
| Location | 150 Bergen St # Uhh-245, Newark, New Jersey |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114232428 | NPI | - | NPPES |
| 845863 | Medicaid | AZ | |
| 0595403 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 48189 (Arizona) | Secondary |
| 208M00000X | Hospitalist | 48189 (Arizona) | Primary |
| Entity Name | Ipc Hospitalist Physicians Of New Jersey Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639303159 PECOS PAC ID: 2769533165 Enrollment ID: O20090625000023 |
| Entity Name | Rwjbh Emergency Medicine Associates, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912510041 PECOS PAC ID: 0941612840 Enrollment ID: O20201217002547 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sobha R Koduru, MD 30 Bergen Street, Building 12 Room 1205, Newark, NJ 07107-3000 Ph: (973) 972-0037 | Dr Sobha R Koduru, MD 150 Bergen St # Uhh-245, Newark, NJ 07103 Ph: (973) 972-5672 |
Janaki Jitendrabhai Makadia, M.D. Hospitalist Medicare: Medicare Enrolled Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-2164 | |
Vivek K. Vadehra, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 30 Bergen St, Admc 12 1205, Newark, NJ 07107 Phone: 973-972-0037 Fax: 973-972-9355 | |
Dr. Michael David Bebawy, DO Hospitalist Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 973-972-4300 | |
Dr. Karina Nicolette Lochan, Hospitalist Medicare: Medicare Enrolled Practice Location: 150 Bergen St, Newark, NJ 07103 Phone: 917-584-3671 | |
Dr. Kanik Pradeep Kathuria, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 201 Lyons Ave, Newark, NJ 07112 Phone: 973-926-7425 Fax: 973-926-6130 | |
Dr. James Whitney James, M.D. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 166 Lyons Ave, Newark, NJ 07112 Phone: 973-926-8491 Fax: 973-926-7361 | |
Dr. Dhvani Doshi, M.D., M.P.H. Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 150 Bergen St Rm H245, Newark, NJ 07103 Phone: 973-972-5672 |