Doctor Name: | DR. VIJAYA MADHAVI KODURI |
NPI Number: | 1558672253 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MBBS |
License Number: | 9303A |
Business Practice Address: | 501 S. Burma Ave. Gillette, WY - 827163246 |
Business Phone Number: | 3076883636 |
Business Fax Number: | 3076883079 |
Mailing Address: | Po Box 3046, GILLETTE |
State: | WY |
Postal Code: | 827173046 |
Phone Number: | 3076882600 |
Fax Number: | 3076853079 |
NPI Enumeration Date: | 06/28/2010 |
NPI Last Update Date: | 12/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208000000X |
License Number: | 9303A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WY |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | |
Taxonomy Definition: | A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |