| Leena R Kodali, MD | |
|
8264 Highway 6 Loop, Navasota, TX 77868-3292 | |
| (979) 207-6100 | |
| Not Available |
| Full Name | Leena R Kodali |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Geriatric Medicine |
| Location | 8264 Highway 6 Loop, Navasota, Texas |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306045679 | NPI | - | NPPES |
| 415877600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0300X | Internal Medicine - Geriatric Medicine | D67788 (Maryland) | Secondary |
| 207RG0300X | Internal Medicine - Geriatric Medicine | Q9178 (Texas) | Primary |
| Entity Name | Health And Human Services Commission |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356414692 PECOS PAC ID: 2163795824 Enrollment ID: O20170908001058 |
| Mailing Address | Practice Location Address |
|---|---|
| Leena R Kodali, MD Po Box 844658, Dallas, TX 75284-4658 Ph: (254) 724-2111 | Leena R Kodali, MD 8264 Highway 6 Loop, Navasota, TX 77868-3292 Ph: (979) 207-6100 |
Pollachi P Selvakumarraj, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 501 E Washington Ave, Navasota, TX 77868 Phone: 936-825-6444 | |
Dr. Luke P Scamardo Ii, Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 501 E Washington Ave, Navasota, TX 77868 Phone: 936-825-6444 |