Laramie Pediatrics/laramie Internal Medicine PC

NPI #1205386281 in Laramie, Wyoming

Provider Information

NPI Number: 1205386281
Entity Type: Organization
Organization Name: Laramie Pediatrics/laramie Internal Medicine PC
Subpart: Yes (part of a larger organization)
Parent Organization: LARAMIE PEDIATRICS/LARAMIE INTERNAL MEDICINE PC
Primary Specialty: Pediatrics
Enumeration Date: Oct 13, 2016
Last Updated: Mar 5, 2024

Practice Location

Address: 1252 N. 22ND STREET
Address 2: SUITE B
City: Laramie
State: Wyoming
ZIP Code: 82072
Phone: (307) 745-3704

Authorized Official

Name: VIJAYA MADHAVI KODURI, M.D
Title: OWNER
Phone: (307) 365-8789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Medical Specialty — Medical Specialty	261QM2500X
Pediatrics	208000000X	Primary

Similar Providers

Individual Providers

Provider Name	Specialty	City
Kelly Ginger Follett, M.D.	Pediatrics	Laramie	AI Deep Dive
John Scott Harris, MD	Pediatrics	Laramie	AI Deep Dive
Debra Mae Anderson, M.D.	Pediatrics	Laramie	AI Deep Dive
DR. Vijaya Madhavi Koduri, MBBS	Pediatrics	Laramie	AI Deep Dive

Organizations

Provider Name	Specialty	City
Meadowlark Pediatrics, LLC	Pediatrics	Laramie	AI Deep Dive

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