Suryam Kodali M.D,.P.a.

Primary specialty

SpecialistTaxonomy code 174400000X

License

F2307 Issued in TX

Legal business name

SURYAM KODALI M.D,.P.A.

Practice address

7737 Southwest Fwy
Ste 510
Houston, TX 77074-1807

Phone

(713) 777-1141

NPI assigned

Oct 26, 2007

Organization subpart

Yes

Parent organization

SURYAM KODALI M.D.,P.A.As reported in NPPES

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

Authorized official

Name

Dr. Suryam Kodali, M.D.

Title

President

Phone

(713) 777-1141

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Suryam Kodali MD PA

Locations

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

{
    "created_epoch": "1193356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193356800000",
    "number": "1932388980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-777-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7737 SOUTHWEST FWY",
            "address_2": "STE 510",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770741807",
            "telephone_number": "713-777-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURYAM KODALI M.D,.P.A.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SURYAM KODALI M.D.,P.A.",
        "enumeration_date": "2007-10-26",
        "last_updated": "2007-10-26",
        "status": "A",
        "authorized_official_last_name": "KODALI",
        "authorized_official_first_name": "SURYAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-777-1141",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "F2307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MC/GRP #",
            "identifier": "00B38G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grace Suri, CRNA
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• Yvette Therese Surrell, FNP
• Tameka Survillion
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• Susan H. Yang Ddspa
• Susan Luehr MD PA
• Hari Krishna Susarla, M.D.

• Specialist in Houston, TX
• Providers in Houston, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2007; 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.