Beaula Koduri

Medical doctor

Edison, United States

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Full name

BEAULA KODURI

Job Title

Medical Doctor

Location

Edison, NJ, USA

LIC ID

162200

Current License Expiration Date

31/01/2025

Original Date

14/11/2022

Professional Rank Code

Effective Date

14/11/2022

Board Action Indicator

License Status Description

CLEAR

License Active Status Description

ACTIVE

Country Description

Out of State

Practice Location Address Line 1

2110 2110 oak tree road

Practice Location Address City

EDISON

Practice Location Address State

Practice Location Address Zipcode

08820

Prescribing Indicator

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Beaula Koduri

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