Provider Demographics
NPI:1609034628
Name:KODUAH, RICHARD YAW (MD)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:YAW
Last Name:KODUAH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:18300 THUNDERCLOUD RD
Mailing Address - Street 2:
Mailing Address - City:BOYDS
Mailing Address - State:MD
Mailing Address - Zip Code:20841-4380
Mailing Address - Country:US
Mailing Address - Phone:301-379-6158
Mailing Address - Fax:301-540-5073
Practice Address - Street 1:3001 HOSPITAL DR
Practice Address - Street 2:
Practice Address - City:CHEVERLY
Practice Address - State:MD
Practice Address - Zip Code:20785-1189
Practice Address - Country:US
Practice Address - Phone:301-618-3772
Practice Address - Fax:301-618-2986
Is Sole Proprietor?:No
Enumeration Date:2008-05-27
Last Update Date:2010-06-17
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Provider Licenses
StateLicense IDTaxonomies
MDD0069606207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine