NPI age
16 years
Enumerated 2009-07-09
● Active
Type 1 · Individual
Anitha Koduru, M.D
Koduru is 1 of 1 internal medicine providers in Evans and 1 of 108 in Georgia.
Primary specialty
Internal Medicine
Licensed in
MO
1 state
Status
Active
No deactivations on record
Last NPPES update
2018-07-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 108 active internal medicine providers in Georgia.
NPI age
16 years
↓ 2 yr below median (18 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
36% of peers hold subspecialties
NPI lifetime · 2009 → 2026
2009-07Enumerated in NPPES
2009
2026
Where they practice
Practice location
447 N Belair Rd Ste 104
Evans, GA 30809
Mailing address
Po Box 1705
Augusta, GA 309031705
Additional practice locations
1 secondary location on file with NPPES.
Location 2
3525 S National Ave, 207
Springfield, MO 658077310
Specialties
-
Internal Medicine PrimaryAn internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the...
Practice context
Part of a multi-provider practice. 2 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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