Individual provider · Type 1 NPI

Mahitha Koduri, MD

Student in an Organized Health Care Education/Training Program · Bronx, NY

NPI number 1043063290 Active

Practice location

111 E 210th St
Bronx, NY 10467-2401

Call (718) 920-4321 Map

Mailing address

2014 Prytania St
New Orleans, LA 70130-5329

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1043063290

Mahitha Koduri, MD's National Provider Identifier is 1043063290, issued on Apr 8, 2024. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bronx, NY. The record was last updated on May 27, 2025.