DoctorLicensePro

Dr. Santhisri Kodali, MD

Clinical Cardiac Electrophysiology

NPI: 1114210390 Missouri
73/100
GoodTrusted

Trust Score based on license status, disciplinary record, board certification, experience, and data freshness.

Score Breakdown

License Status15/30

unknown

Disciplinary Record25/25

0 action(s)

Board Certification15/20

Not verified

Years in Practice12/15

15 years

Data Freshness6/10

Updated 1079 days ago

License Status

TexasActive
License #

S4010

Issued

Nov 1, 2019

Expires

Nov 30, 2026

Practice Information

Address
6500 HOSPITAL DR
HANNIBAL, MO 63401
Phone
(573) 629-3500
In Practice Since
May 23, 2011
Data Last Updated
July 18, 2023

NPI Details

NPI Number
1114210390
Status
Active
Taxonomy Code
207RC0001X
Data sourced from CMS NPPES public database. Last verified: July 18, 2023. Report an error