Vidyasagar Koduri, MD
Vidyasagar Koduri, MD is a Medical Oncology in Boston, Massachusetts. Graduated from Harvard Medical School in 2009, 17 years ago. Practices with Dana-Farber Cancer Institute, Inc, a 668-clinician group and accepts Medicare assignment. Licensed in Massachusetts.
- Years since qualifying
- 17
- Trained at
- Harvard Medical School
- Licensed in
- MA
- In the registry since
- 2009
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
75 Francis StBoston, MA 02115-6110
Phone: (617) 796-7170
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Oncology Physician (primary) | Taxonomy 207RX0202X · Licence 252864 (MA) |
|---|
Record details
| NPI number | 1043448293 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | No |
| NPI enumerated | June 26, 2009 |
| Last updated in NPPES | March 6, 2023 |
| Certification date | March 6, 2023 |
| Mailing address | 41 Centre St, Apt 204, Brookline, MA 02446-2850 |
Medicare enrollment
| Medicare specialty | MEDICAL ONCOLOGY |
|---|---|
| Also practises | HEMATOLOGY |
| Medical school | HARVARD MEDICAL SCHOOL |
| Graduated | 2009 (17 years in practice) |
| Group practice | Dana-Farber Cancer Institute, Inc. — 668 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 2 on file with Medicare |
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