Dr. Brahmananda Kiran Koduri
M.D | Pediatric Critical Care Medicine | Male
Dr. Brahmananda Kiran Koduri, M.D is a Gillette, Wyoming based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. Brahmananda Kiran Koduri is
501 S Burma Ave, Gillette, Wyoming - 82716-3426. He can be contacted on phone at
307-688-1534.
Dr. Brahmananda Kiran Koduri is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Brahmananda Kiran Koduri is
1659608214 which was assigned by NPPES on 03 Nov, 2009 and it was last updated on 03 Sep, 2013.
Dr. Brahmananda Kiran Koduri license number is
9302A for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Wyoming.
Dr. Brahmananda Kiran Koduri is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. Brahmananda Kiran Koduri basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. Brahmananda Kiran Koduri |
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| Credential : | M.D |
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| Gender : | Male |
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Business Address:
Dr. Brahmananda Kiran Koduri address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 501 S Burma Ave
Gillette, WY, 82716-3426
United States |
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| Phone Number : | 307-688-1534 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1659608214 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 03 Nov, 2009 |
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| Last Updated On : | 03 Sep, 2013 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Brahmananda Kiran Koduri are as mentioned. Primary taxonomy code for Dr. Brahmananda Kiran Koduri, M.D is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 9302A | WY |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 4516 Running W Dr Apt 101
Gillette, WY, 82718-2033
United States |
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| Phone Number : | 609-216-0537 |
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Business Location:
Patients can refer following map for directions to
Dr. Brahmananda Kiran Koduri practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.