Udayini Kodali, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

M0463 Issued in TX

Practice address

920 Medical Plaza Dr
Suite 290
Shenandoah, TX 77380-3260

Phone

(832) 813-5755

Fax

(832) 813-8096

NPI assigned

Sep 1, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1125532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1558355883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131898",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773931898",
            "telephone_number": "832-813-5755",
            "fax_number": "832-813-8096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 MEDICAL PLAZA DR",
            "address_2": "SUITE 290",
            "city": "SHENANDOAH",
            "state": "TX",
            "postal_code": "773803260",
            "telephone_number": "832-813-5755",
            "fax_number": "832-813-8096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KODALI",
        "first_name": "UDAYINI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-01",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "TX",
            "license": "M0463",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kitten Cardiovascular Associates PLLC
• Clifford Mark Kitten, M.D.
• Madalyn Knight
• Paul Edward Kobza, D.O.
• Kathie Lynn Kochanowsky, RN, ANP-C
• Sandeep Kodityal, MD
• Phillip Joseph Kolarczyk Jr., PA-C
• Kateryna Komarovskiy, MD
• Jonas Gileguy Konan, PA
• Rebecca Taylor Koogler

• Gastroenterology Physician in Shenandoah, TX
• Providers in Shenandoah, TX by specialty
• Gastroenterology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.