DR. DHATRI KODALI (NPI# 1477745800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477745800 |
| Entity Type | Individual |
| Full Name | DR. DHATRI KODALI |
| Credential | MD |
| Practice Address |
501 Medical Center Blvd Webster TX 77598-4219 |
| Mailing Address |
Po Box 911230 Dallas TX 75391-1230 |
| Practice Telephone | 2813327505 |
| Practice Fax Number | 2813327616 |
| Mailing Telephone | 9729978000 |
| Mailing Fax Number | 9724379605 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2018-05-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | M8770 | TX | Allopathic & Osteopathic Physicians |
| Y | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
M8770 | TX | Allopathic & Osteopathic Physicians |
| N | 207RH0003X |
Internal Medicine Specialization: Hematology & Oncology |
18684 | MN | Allopathic & Osteopathic Physicians |
| N | 207RX0202X |
Internal Medicine Specialization: Medical Oncology |
M8770 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | RAILROAD MEDICARE | P00662594 | 01 |
| TX | 193079402 | 05 | |
| TX | 193079403 | 05 | |
| TX | 193079405 | 05 | |
| TX | BCBS | 8AQ003 | 01 |
| TX | 193079401 | 05 |
| Street Address |
501 MEDICAL CENTER BLVD |
| City | WEBSTER |
| State | TX |
| Zip Code | 77598-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891739280 | David Paul Gill | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-15 |
| 1821265265 | Texas Oncology Pa | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2008-05-14 |
| 1285833608 | Divyang Dolat Mehta | Radiology | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2007-07-16 |
| 1598824799 | David Thomas Benner | Pharmacist | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-12-06 |
| 1043233422 | Oncology Pharmacy Services Inc | Durable Medical Equipment & Medical Supplies | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-07-26 |
| 1881615243 | Alan Joseph Rodney | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598 | 2006-07-21 |
| 1083650386 | Suzanne Mcclure | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-22 |
| 1043256795 | David Paul Walker | Radiology | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-21 |
| 1215973961 | Gary B Weiss | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942816376 | Philippe Joseph Dentino | Physical Therapist | 14520 Tx-3, Webster, TX 77598 | 2020-09-21 |
| 1093324428 | Complete Care Obgyn and Family Medicine Pllc | Obstetrics & Gynecology | 1408 W Nasa Parkway, Ste A, Webster, TX 77598 | 2020-07-31 |
| 1366082562 | Ryse Chiropractic Plus Spa LLC | Chiropractor | 780 Clear Lake City Blvd., Bldg. 1-a, Webster, TX 77598 | 2020-01-15 |
| 1770133837 | Wellness Vip, LLC | Occupational Therapist | 1011 W.bay Area Blvd Ste. 1102, Webster, TX 77598 | 2019-09-19 |
| 1689236341 | Houston Advanced Surgical Services, LLC | Physician Assistant | 500 W. Medical Center Blvd., Webster, TX 77598 | 2019-07-02 |
| 1528524295 | Luxury Dialycare Pllc | Clinic/Center | 600 N. Kobayashi Road, Suite 108, Webster, TX 77598 | 2019-02-18 |
| 1124501879 | Vip Vision LLC | Optometrist | 1310 Jasmine St., Webster, TX 77598 | 2018-09-10 |
| 1073094322 | Asha Mathew | Family Medicine | Brain and Spine Clinic Pa, Suite 250, 400 W Medical Center Blvd, Webster, TX 77598 | 2018-08-24 |
| 1760960991 | Bryce Ethan Jeffrey | Physical Therapist | 1416 Fm 528 Ste A, Webster, TX 77598 | 2018-07-31 |
| 1841777281 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 1310 Jasmine Avenue, Webster, TX 77598 | 2018-07-27 |
| Find all providers in zip 77598 | ||||
| Taxonomy Code | 207RH0003X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Hematology & Oncology |
| 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. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2007. [7/1/2008: definiton added, source added; 7/1/2011: modified source] - Additional Resources: http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316957368 | Ping S Chu | Internal Medicine | 1015 Medical Center Blvd., Suite 2800, Webster, TX 77598-4081 | 2006-08-09 |
| 1891739280 | David Paul Gill | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-15 |
| 1285895722 | Kausar Suleman Md Pa | Internal Medicine | 400 Medical Center Blvd, Suite 108, Webster, TX 77598-4235 | 2008-06-18 |
| 1821265265 | Texas Oncology Pa | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2008-05-14 |
| 1134396955 | Anish Meerasahib | Internal Medicine | 501 W Medical Center Blvd, Webster, TX 77598-4219 | 2008-05-12 |
| 1659464725 | Kausar Suleman | Internal Medicine | 400 Medical Center Blvd, Suite 108, Webster, TX 77598-4235 | 2006-10-02 |
| 1881615243 | Alan Joseph Rodney | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598 | 2006-07-21 |
| 1215973961 | Gary B Weiss | Internal Medicine | 501 Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-21 |
| 1164464152 | Khalid Mahmood | Internal Medicine | 501 W Medical Center Blvd, Webster, TX 77598-4219 | 2006-06-12 |
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|---|---|---|---|---|
| 1205399961 | Christus Health Ark-la-tex | Internal Medicine | 5002 Cowhorn Creek Rd Ste 3205, Texarkana, TX 75503-9766 | 2019-04-10 |
| 1861958704 | Thi of Texas At Samaritan Hospice LLC | Internal Medicine | 12001 N Central Expy Ste 550, Dallas, TX 75243-3943 | 2019-02-15 |
| 1417485822 | Ahmad Ghorab | Internal Medicine | 1515 Holcombe Blvd #1445, Houston, TX 77030 | 2017-05-30 |
| 1063952943 | Irfan Jawed Md Pllc | Internal Medicine | 4102 Woodlawn Avenue, Ste 160, Pasadena, TX 77504 | 2017-02-27 |
| 1366981615 | Houston Cancer Treatment Centers Pa. | Internal Medicine | 4102 Woodlawn Ave Ste 160, Pasadena, TX 77504-1922 | 2017-02-20 |
| 1508222720 | Maurizio Bendandi | Internal Medicine | 6722 Mimosa Ln, Dallas, TX 75230-5214 | 2016-01-04 |
| 1245642073 | Juan Francisco Garza | Internal Medicine | 3333 Bayshore Blvd Ste 320, Pasadena, TX 77504-1950 | 2014-05-28 |
| 1124463211 | Oluchi Oke | Internal Medicine | 1515 Holcombe Blvd Unit 463, Division of Cancer Medicine, Houston, TX 77030-4000 | 2013-05-03 |
| 1710229323 | Adaeze Nwosu- Iheme | Internal Medicine | 2700 Citizens Plz Ste 200, Victoria, TX 77901-5756 | 2013-03-21 |
| 1144570599 | Gummadi & Desai LLC | Internal Medicine | 2717 Michael Angelo Ste 302, Edinburg, TX 78539-1409 | 2012-09-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.