Individual provider · Type 1 NPI

Beaula V. Koduri, MD

Hematology & Oncology Physician · Edison, NJ

NPI number 1972505311 Active

Practice location

2110 Oak Tree Road
Edison, NJ 08820-3626

Fax (732) 483-4502

Mailing address

PO Box 1177
South Plainfield, NJ 07080-9177

Specialties and licenses

TaxonomyCodeLicense
Hematology & Oncology Physician Primary 207RH0003X25MA08158600 (NJ)

Hematology & Oncology Physician: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

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About NPI 1972505311

Beaula V. Koduri, MD's National Provider Identifier is 1972505311, issued on Aug 15, 2005. The primary taxonomy on file is Hematology & Oncology Physician (207RH0003X), and the practice location is in Edison, NJ. The record was last updated on Sep 23, 2014.