Ramesh B. Koduri, MD
Ramesh B. Koduri, MD is a Psychiatry in Petersburg, Virginia. Qualified in 1969, 57 years ago. Practices with Virginia South Psychiatric and Family Services, a 35-clinician group and offers telehealth. Licensed in Virginia.
- Years since qualifying
- 57
- Licensed in
- VA
- In the registry since
- 2006
- Specialties on file
- 3
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
269 Medical Park BlvdPetersburg, VA 23805-9337
Phone: (804) 861-0700
Fax: (804) 863-4626
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Psychiatry Physician (primary) | Taxonomy 2084P0800X · Licence 0101024418 (VA) |
|---|---|
| Addiction Medicine (Psychiatry & Neurology) Physician | Taxonomy 2084A0401X · Licence 0101024418 (VA) |
| Geriatric Psychiatry Physician | Taxonomy 2084P0805X · Licence 0101024418 (VA) |
Record details
| NPI number | 1609831544 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | April 20, 2006 |
| Last updated in NPPES | October 2, 2013 |
| Mailing address | 269 Medical Park Blvd, Petersburg, VA 23805-9337 |
Medicare enrollment
| Medicare specialty | PSYCHIATRY |
|---|---|
| Medical school | OTHER |
| Graduated | 1969 (57 years in practice) |
| Group practice | Virginia South Psychiatric And Family Services — 35 clinicians |
| Accepts Medicare assignment | Not indicated |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |