Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bhavyasri Kodali

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1912751173

Bhavyasri Kodali is a Student in an Organized Health Care Education/Training Program in Riverdale, Georgia. Licensed in Georgia. Registered with an NPI since 2024.

Licensed in
GA
In the registry since
2024
Specialties on file
2

Practice location Address checks out

11 Uppr Riverdale RD SW
Riverdale, GA 30274-2615
Phone: (770) 991-8570
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 1912751173 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1912751173
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address11 Upper Riverdale Rd Sw, Riverdale, GA 30274-2615

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