NPI 1558672253

Vijaya Madhavi Koduri, MBBS

Practitioner Pediatrics Physician Laramie, WY

Practice location

Address: 1252 N 22nd St, Laramie, WY 82072-5306
Phone: (307) 745-3704
Fax: (307) 745-7237
Mailing address: PO Box 3046, Gillette, WY 82717-3046

Registered specialties

Pediatrics Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208000000X Licence 9303A (WY)

Other Pediatrics providers in Wyoming →

Registry record

NPI: 1558672253
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Jun 2010
Record last updated: 31 Aug 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.