Healthcare Provider Details

I. General information

NPI: 1215877857
Provider Name (Legal Business Name): SRIHARSHA KODURU M.B.B.S
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2026
Last Update Date: 04/01/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1431 SW 1ST AVENUE, HCA FLORIDA OCALA HOSPITAL
OCALA FL
34471
US

IV. Provider business mailing address

1431 SW 1ST AVENUE, HCA FLORIDA OCALA HOSPITAL, GRADUAT
OCALA FL
34471
US

V. Phone/Fax

Practice location:
  • Phone: 352-401-8311
  • Fax:
Mailing address:
  • Phone: 352-401-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: