Suresh B Kodali (NPI# 1548352156, PAC ID# 6901944057) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1548352156 |
| PAC ID by PECOS | 6901944057 |
| Professional Enrollment ID | I20091110000293 |
| Full Name | Suresh B Kodali |
| Address |
708 Westport Rd Suite 103 Elizabethtown KY 42701-2866 |
| Phone Number | 2707661234 |
| Gender | M |
| Graduation Year | 1978 |
| Primary Specialty | PSYCHIATRY |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 180012 | HARDIN MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 708 Westport Rd, Suite 103, Elizabethtown, KY 42701-2866 | 2707661234 | |
| 708 Westport Rd, Elizabethtown, KY 42701-2866 | 2707661234 |
| Street Address |
708 WESTPORT RD SUITE 103 |
| City | ELIZABETHTOWN |
| State | KY |
| Zip | 42701-2866 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deric Parrish | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Elliot R Mattingly | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Jeremy L Schafer | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Madisson Turner | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Thomas Leo Mudd | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Melissa D Hawkins | Physical Therapy | Sn Kentuckiana Rehab LLC | 708 Westport Rd, Elizabethtown, KY 42701-3819 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Donna J Wilson | Clinical Social Worker | 921 N Main St, Elizabethtown, KY 42701-1256 | |
| Lela S Dunn | Psychologist, Clinical | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Rhonda A Shircliff | Nurse Practitioner | Elizabethtown Partner's In Counseling Inc | 204 N Main St, Elizabethtown, KY 42701-1417 |
| Debra L Johnson | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Alicia Karam | Nurse Practitioner | Advanced Behavioral Health Pllc | 110 Helm St, Elizabethtown, KY 42701-1496 |
| Nicholas L Watters | Psychologist, Clinical | 240 W Dixie Ave, Suite 5b, Elizabethtown, KY 42701-1586 | |
| Kimberly D Tully | Clinical Social Worker | 240 W Dixie Ave, Suite 5 B, Elizabethtown, KY 42701-1586 | |
| Katie V Barnett | Anesthesiology | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Price R Richardson | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Tracy L Dupree | Certified Registered Nurse Anesthetist (crna) | Heartland Anesthesia Consultants Psc | 639 N Mulberry St, Elizabethtown, KY 42701-1931 |
| Find all physicians in zip 42701 | |||
| City | ELIZABETHTOWN |
| Zip Code | 42701 |
| Specialty | PSYCHIATRY |
| City + Specialty | ELIZABETHTOWN + PSYCHIATRY |
Please comment or provide details below to improve the information on Suresh B Kodali.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.