IndividualActive
Anitha Koduru, M.D
NPI 1689803785 · Geriatric Medicine (Internal Medicine) Physician · Evans, GA
Provider details
- NPI number
- 1689803785
- Entity type
- Individual
- Primary specialty
- Geriatric Medicine (Internal Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Female
- Sole proprietor
- No
- License
- 2013016211 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
447 N Belair Rd Ste 104
Evans, GA 30809
Phone: (706) 854-2180
Fax: (706) 854-2189
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1705
Augusta, GA 30903-1705
Additional practice locations (1)
- 3525 S National Ave207Springfield, MO 65807-7310Phone: (417) 269-9220
Registry dates
- Enumerated
- 2009-07-09
- Last updated
- 2018-07-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.