DHEERAJ KODALI M.D. – NPI #1508179607
Internal Medicine

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

Health Care Provider Taxonomy Code for Internal Medicine

DHEERAJ KODALI is a physician located in STOCKTON, CA. NPPES has assigned the NPI number 1508179607 to DHEERAJ KODALI on July 17, 2010. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 3 additional location(s) assigned to this provider which are listed below. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207RH0003X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Hematology & Oncology

The NPI profile was previously updated about 5 years ago on Aug 19, 2021. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DHEERAJ KODALI below.

NPI Profile for
DHEERAJ KODALI

NPI Number
1508179607
Enumeration Date

(about 16 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
DHEERAJ KODALI
Credentials
M.D.
Primary location
2626 N CALIFORNIA ST STE B
STOCKTON, CA 95204-5500
Phone: (209) 466-2626 Fax: (209) 466-7153
3 Other location(s):
250 Stanaford Rd
Beckley, WV 25801-3140
Phone: (304) 254-3520
3110 MacCorkle Ave SE
Charleston, WV 25304-1210
Phone: (304) 388-1000
Fax: (304) 388-1041
115 Summers Hospital Rd
Hinton, WV 25951-5172
Phone: (340) 255-2918
Mailing address
Same as primary location
Sole Proprietor
No
Updated
Certification Date
Aug 19, 2021

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RH0003X
- Internal Medicine / Hematology & Oncology (Primary)		 WV 26214
2084P0800X
- Psychiatry & Neurology / Psychiatry		 WV 26214

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Offers Telehealth Services
Yes - Telehealth services allows you to talk to your health care provider using audio/video communications, such as Zoom, without actually going in to the doctor's office
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
DHEERAJ KODALI is affiliated with the following medical group(s):
  • HOSPITAL
    • BECKLEY ARH HOSPITAL
      306 STANAFORD ROAD
      BECKLEY, WV 25801
    • MARK TWAIN MEDICAL CENTER
      768 MOUNTAIN RANCH RD
      SAN ANDREAS, CA 95249
    • ST JOSEPH'S MEDICAL CENTER OF STOCKTON
      1800 N CALIFORNIA ST
      STOCKTON, CA 95204
    • SUTTER AMADOR HOSPITAL
      200 MISSION BLVD
      JACKSON, CA 95642
    • SUTTER TRACY COMMUNITY HOSPITAL
      1420 NORTH TRACY BLVD
      TRACY, CA 95376

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