Vijay Koduri, MD | |
300 E Crockett St, Cleveland, TX 77327-4029 | |
(800) 893-9698 | |
(337) 371-4656 |
Full Name | Vijay Koduri |
---|---|
Gender | Male |
Speciality | Emergency Medicine |
Experience | 45 Years |
Location | 300 E Crockett St, Cleveland, Texas |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659421279 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207P00000X | Emergency Medicine | K1856 (Texas) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Duncan Regional Hospital, Inc | Duncan, OK | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Hcc Duncan Inc | 1759447873 | 8 |
Entity Name | Northeastern Health System |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457574170 PECOS PAC ID: 1456255025 Enrollment ID: O20031125000250 |
Entity Name | Hcc Duncan Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013153543 PECOS PAC ID: 1759447873 Enrollment ID: O20090225000497 |
Mailing Address | Practice Location Address |
---|---|
Vijay Koduri, MD 200 Corporate Blvd, Suite 201, Lafayette, LA 70508-3870 Ph: () - | Vijay Koduri, MD 300 E Crockett St, Cleveland, TX 77327-4029 Ph: (800) 893-9698 |
Dr. Timothy Mctigue, M.D., M.S.P.H. Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E Crockett St, Emergency Room, Cleveland, TX 77327 Phone: 281-593-2132 | |
Daniel Garza, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 300 E Crockett St, Cleveland, TX 77327 Phone: 800-893-9698 |