Anusha Kodidhi | Dallas, TX • PECOS Search

Anusha Kodidhi

Pediatrics

Allopathic & Osteopathic Physicians

1935 Medical District Dr, Dallas, TX 75235-7701

PECOS Enrollment

Based on the most recent information from CMS, provider Anusha Kodidhi does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 10:37 AM.

Profile Details

Provider ID
1336766948
Provider Type
Individual
Full Name
Kodidhi, Anusha
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
6/30/2020
Last Updated
5/31/2023

Contact Information

Practice Location

1935 Medical District Dr, Dallas, TX 75235-7701

Unlisted Fax

Mailing Location

1935 Medical District Dr, Dallas, TX 75235-7701

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 208000000X Primary	Description Pediatrics Allopathic & Osteopathic Physicians	License BP10083691 Texas