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Laramie Pediatrics/Laramie Internal Medicine PC

Pediatrics Physician in Laramie, WY · enumerated 2016 · authorized official Vijaya Koduri, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205386281

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Registry record

Entity type Organization (Type 2)
Legal business name Laramie Pediatrics/Laramie Internal Medicine PC
Other name <Unavail>
Parent organization Laramie Pediatrics/Laramie Internal Medicine PC
Practice address 1252 N. 22nd Street, Suite B, Laramie, WY, 82072
Enumeration date Oct 13, 2016
Last updated in NPPES Mar 5, 2024

Taxonomy & classification

208000000X Pediatrics Physician Allopathic & Osteopathic Physicians Primary
261QM2500X Medical Specialty Clinic/Center Ambulatory Health Care Facilities Secondary

Authorized official

Name Vijaya Koduri
Title Owner

Other identifiers

Identifier Type State Issuer
1558672253 Medicaid WY -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2024-03-05. Verify at npiregistry.cms.hhs.gov.
Where is Laramie Pediatrics/Laramie Internal Medicine PC located?
The practice location on file with NPPES is in Laramie, WY.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-03-05.