DR. PRASAD R KODURU PHD
NPI 1508145830
Pathology - Clinical Laboratory Director, Non-physician in Dallas, TX

Q: What is Prasad Koduru's NPI number?

The NPI number for Prasad Koduru is 1508145830. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Q: What is Prasad Koduru's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

Q: When was this NPI record last updated?

The NPPES record for Prasad Koduru was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 04, 2011

6000 HARRY HINES BLVD, DALLAS, TX 75235(214) 645-7000(214) 645-7001 Get Directions Write a Review

NPPES record last updated: August 4, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Prasad R Koduru Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PRASAD R KODURU PHD (NPI 1508145830) is an individual clinical laboratory director, non-physician in Dallas, Texas and active in the NPI registry since August 2011.

NPPES Registry Identity

NPI1508145830

Entity TypeIndividualMale

Primary Taxonomy247ZC0005X

Provider Legal NameDR. PRASAD R KODURUCredential: PHD

Location Address6000 HARRY HINES BLVDDallas, TX 75235-5303

Mailing Address6000 Harry Hines BlvdDallas, TX 75235-5303 · (214) 645-7000 · Fax (214) 645-7001

Phone(214) 645-7000

Fax(214) 645-7001

Sole ProprietorYes

Enumeration DateAugust 4, 2011

✔ NPI 1508145830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyPathology · Clinical Laboratory Director, Non-physicianTechnologists, Technicians & Other Technical Service Providers

Taxonomy Code247ZC0005X

Definition

An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

Also ListedSpecialistTaxonomy 174400000X · License PKODU1 (NY)

Also ListedMedical Genetics · Clinical CytogeneticsTaxonomy 207SC0300X · License PKODU1 (NY)

Also ListedPathology · Molecular Genetic PathologyTaxonomy 207ZP0007X · License PKODU1 (NY)

6000 HARRY HINES BLVD, Dallas, TX 75235

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Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JULIANNA HUDNALL

Clinic/Center (Genetics)

6000 HARRY HINES BLVD, NB 10.204
DALLAS, TX 75235

Dallas County (214) 648-5964

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Prasad Koduru's NPI number?

The NPI number for Prasad Koduru is 1508145830. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Prasad Koduru located?

Prasad Koduru practices at 6000 Harry Hines Blvd, Dallas, TX 75235. The listed phone number is (214) 645-7000.

What is Prasad Koduru's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Laboratory Director, Non-physician, with taxonomy code 247ZC0005X.

When was this NPI record last updated?

The NPPES record for Prasad Koduru was last updated on August 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.