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

Dr. Prashanthi Bora Koduri, MD

Individual provider Family Medicine Physician · NPI 1891744603

Dr. Prashanthi Bora Koduri, MD is a Family Practice in Suffolk, Virginia. Qualified in 1987, 39 years ago. Practices with Sentara Medical Group, a 1,403-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Virginia.

Years since qualifying
39
Licensed in
VA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3920 Bridge Rd Bldg A Ste 207
Suffolk, VA 23435-1117
Phone: (757) 983-2200
Fax: (757) 923-2201
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 101229036 (VA)

Record details

NPI number1891744603
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 9, 2006
Last updated in NPPESDecember 6, 2019
Mailing address3920 Bridge Rd, Bldg A, Ste. 207, Suffolk, VA 23435-1117

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Sentara Medical Group — 1403 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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