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

Dr. Srinivasa Rao Kodali

Individual provider Psychiatry Physician · NPI 1255372058

Dr. Srinivasa Rao Kodali is a Psychiatry in Livonia, Michigan. Qualified in 1981, 45 years ago. Practices as a sole proprietor, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
45
Licensed in
MI
In the registry since
2006
Specialties on file
3

Practice location Address checks out

17940 Farmington Rd Ste 230
Livonia, MI 48152-3194
Phone: (734) 422-4748
Fax: (734) 422-5076
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence 4301049890 (MI)
Addiction Psychiatry Physician Taxonomy 2084P0802X · Licence 4301049890 (MI)
Geriatric Psychiatry Physician Taxonomy 2084P0805X · Licence 4301049890 (MI)

Record details

NPI number1255372058
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJune 10, 2006
Last updated in NPPESNovember 4, 2015

Medicare enrollment

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

Medicare specialtyPSYCHIATRY
Also practisesGERIATRIC PSYCHIATRY
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Livonia