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NPI Profile for Dr PRASAD R KODURU in DALLAS, TX.
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinical Cytogenetics |
207SC0300X | |||
Molecular Genetic Pathology |
207ZP0007X | 22 | Physician/Pathology | |
Specialist |
174400000X |
| NPI # | 1508145830 |
|
| Status | Active | |
| Credentials | PHD | |
| Entity | Individual | |
| Enumeration date | 08/04/2011 | |
| Last updated | 08/04/2011 - About 15 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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PRASAD R KODURU
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PRASAD R KODURU, PHD