Provider Information

Last Updated : Nov 25 2024 2:10 PM

Kevin T Kodama




City
Fresno
Group
SANTE PHYSICIANS CAPITATED
Specialty
Gastroenterology
Last Name
Kodama
First Name
Kevin
Middle Name
T
Address
1187 E. Herndon Ave. Ste 101
State
CA
Zip Code
93720
Phone
(559)440-0450
Hours
Mon - Fri 8:00 AM - 5:00 PM
Gender
M
Title
M.D.
Physician ID
79949
Section Number
4
County
FRESNO
Accepting New Patient
No
PPG NAME
SANTE PHYSICIANS CAPITATED
PPG ID
MFRH3
NPI Number
1750395828
Access Requirement
Basic
PARKING_IND
P
EXT_BUILD_IND
EB
INT_BUILD_IND
IB
RESTROOM_IND
R
EXAMROOM_IND
E
EXAMTBL_IND
T
License ID
G078832
Board Certified
No
Self Access Flag
Self Reported Database
Panel Status
Available by referral only
Afterhour Phone
(559) 440-0450
PHY CCT IND
N

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