DEEPTHI KODALI


Address: 131 Coventry Street, Burgdorf Clinic Burgdorf / Fleet Medical Center, Hartford, CT 06112
Phone: 8607142813

DEEPTHI KODALI (NPI# 1750738860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1750738860
Entity Type Individual
Full Name DEEPTHI KODALI
Credential M.D.
Practice Address 131 Coventry Street
Burgdorf Clinic Burgdorf / Fleet Medical Center
Hartford
CT 06112
Practice Telephone 8607142813
Practice Fax Number 8607148541
Mailing Telephone 8607142813
Mailing Fax Number 8607148541
Enumeration Date 2016-05-18
Last Update Date 2016-08-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 131 COVENTRY STREET
BURGDORF CLINIC BURGDORF / FLEET MEDICAL CENTER
City HARTFORD
State CT
Zip Code 06112

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063410389 Burgdorf Pharmacy Inc Pharmacy 131 Coventry Street, 2nd Fl, Hartford, CT 06112 2005-07-11
1538693833 Shaina Rodrigues Student in an Organized Health Care Education/Training Program 131 Coventry Street, Burgdorf Clinic, Hartford, CT 06112 2017-04-13
1033566716 Lakshmi Kavitha Kalluri Student in an Organized Health Care Education/Training Program 131 Coventry Street, Burgdorf/fleet Medical Centre, Hartford, CT 06112 2016-05-23
1023427911 Amarpreet Sanghera Internal Medicine 131 Coventry Street, Burgdorf/fleet Medical Center, Hartford, CT 06112 2014-08-05
1811199979 Burgdorf Pharmacy Inc Durable Medical Equipment & Medical Supplies 131 Coventry Street, 2nd Fl, Hartford, CT 06112 2007-06-01
1891705315 Anne H Flitcraft Neuromusculoskeletal Medicine & OMM 131 Coventry Street, Burgdorf Clinic 2nd Floor - Administration, Hartford, CT 06112 2006-08-08

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1841810355 Ashwin Mahesh Student in an Organized Health Care Education/Training Program 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 2020-04-24
1336600527 Waleed Ibrahim Student in an Organized Health Care Education/Training Program Burgdorf Clinic, 131 Coventry Street 2nd Floor, Hartford, CT 06112 2019-03-29
1740741941 Hajra Munawar Student in an Organized Health Care Education/Training Program Burgdorf Clinic 131 Coventry Street, Hartford, CT 06112 2019-03-29
1194191973 Esther Wint Nurse Practitioner 490 Blue Ave, Hartford, CT 06112 2015-08-17
1194105700 Michelle Russi Physical Therapy Assistant 490 Blue Hill Ave., Hartford, CT 06112 2015-06-09
1366858359 Krysten N Marotta Pharmacist 1290 Albany Ave, Hartford, CT 06112 2014-07-10
1447403522 Moon Hee Yoo Psychiatry & Neurology 500 Vine St., Capitol Region Mental Health Center, Hartford, CT 06112 2008-11-03
1992958094 Roxann Marie Ellis-denby Social Worker 51 Coventry Street, Capitol Region Mental Health Center, Hartford, CT 06112 2008-11-03
1265590871 The Connecticut Institute for The Blind Intermediate Care Facility, Mentally Retarded 120 Holcomb Street, Hartford, CT 06112 2006-12-05
1164580379 Intercommunity, Inc. Clinic/Center 16 Coventry Street, Hartford, CT 06112 2006-12-04
Find all providers in zip 06112

Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750907325 Vartika Kesarwani Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care-brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-19
1720602865 Meher Kaur Singha Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care- Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2020-06-04
1275155939 Pruthwy R Addanki Student in an Organized Health Care Education/Training Program Saint Francis Clinic, 1000 Asylum Avenue, Suite 1004, Hartford, CT 06105 2020-05-15
1841810355 Ashwin Mahesh Student in an Organized Health Care Education/Training Program 131 Coventry Street, 2nd Floor, Burgdorf Clinic, Hartford, CT 06112 2020-04-24
1669009916 Amjad O. M. Saad Student in an Organized Health Care Education/Training Program 80 Seymour St # 6102, Hartford, CT 06102-8000 2020-03-26
1497317986 Muhammad Akrmah Student in an Organized Health Care Education/Training Program 250 Main St Apt 431, Hartford, CT 06106-1871 2019-07-03
1700447802 Samuel Flynn Student in an Organized Health Care Education/Training Program 1000 Asylum Avenue, Suite 3200, Hartford, CT 06105 2019-06-28
1497314140 Eduardo Mantovani Cardoso Student in an Organized Health Care Education/Training Program Hartford Hospital Adut Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-06-06
1518523059 Krishna Patel Student in an Organized Health Care Education/Training Program 86 Seymour St, Hartford, CT 06106-2441 2019-05-09
1114582178 Dimitrios Drekolias Student in an Organized Health Care Education/Training Program Hartford Hospital Adult Primary Care - Brown Stone, 79 Retreat Avenue, Hartford, CT 06106 2019-05-06
Find all providers in HARTFORD

Competitor

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City HARTFORD
Zip Code 06112

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Dataset Information

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.

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