-- SRIVIDYA KODURU --
Individual Provider (NPI-1)
Active
Family Medicine
Provider Information
- NPI Number
1073804969- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6325 HOSPITAL PKWY, JOHNS CREEK, GA, 300975775
- Phone
- (678) 474-7038
Specialties & Taxonomies
Family Medicine, Geriatric Medicine
License: GA #73185
Hospitalist
License: GA #073185
Family Medicine
Primary License: GA #73185
Family Medicine, Bariatric Medicine
License: GA #73185
Student in an Organized Health Care Education/Training Program