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Contact Information

MANEETHA KODALI, MD
4301 W MARKHAM ST # 748
LITTLE ROCK, AR72205-7101
 Phone: 501-686-7439
 Fax: 501-686-6234
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
 

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MANEETHA KODALI · (Female)

NPI # 1386051167
Status Active
Credentials MD
Entity Individual
Enumeration date 07/14/2014
Last updated 01/30/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AR License # E-11576
Hospital affiliation(s)
  • BAPTIST HEALTH MEDICAL CENTER-LITTLE ROCK - (Acute Care)
    9601 INTERSTATE 630, EXIT 7
    LITTLE ROCK, AR 72205
  • UAMS MEDICAL CENTER - (Acute Care)
    4301 WEST MARKHAM STREET MAIL SLOT 612
    LITTLE ROCK, AR 72205
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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