Pediatric Associates Of Southern Colorado, Llc in Pueblo - Pediatrics
Pediatric Associates Of Southern Colorado, Llc - NPI 1023234861
Pediatric Associates Of Southern Colorado, Llc is a Pediatrics in Pueblo, Colorado. Pediatric Associates Of Southern Colorado, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediatric Associates Of Southern Colorado, Llc is 1023234861. The last update date is 2020-08-22.
Pediatric Associates Of Southern Colorado, Llc's current location address is 1312 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195442090 and fax number 7195442094. The mailing address for Pediatric Associates Of Southern Colorado, Llc is 1312 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Pediatric Associates Of Southern Colorado, Llc |
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Address | 1312 N Grand Ave, Pueblo, Colorado |
Phone Number | 7195442090 |
Fax Number | 7195442094 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Vedanthan K Pudupakkam |
Credentials | M.D. |
Telephone Number | 3032380471 |
NPI Number Detail
NPI Number | 1023234861 |
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Provider Enumeration Date | 2007-04-18 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 1312 N Grand Ave |
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City | Pueblo |
State | Colorado (CO) |
Post Code | 810032718 |
Phone Number | 7195442090 |
Fax Number | 7195442094 |
Provider's Primary Taxonomy Detail
Speciality | Pediatrics |
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Taxonomy | 208000000X |
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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39188361 | CO | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Associates Of Southern Colorado, Llc by the Centers for Medicare & Medicaid Services?
The Pediatric Associates Of Southern Colorado, Llc has been issued the NPI (National Provider Identifier) 1023234861 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete address where Pediatric Associates Of Southern Colorado, Llc is physically located?
The Pediatric Associates Of Southern Colorado, Llc is situated at the following address: 1312 N Grand Ave, Pueblo, CO 810032718.
What is Pediatric Associates Of Southern Colorado, Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Pediatric Associates Of Southern Colorado, Llc is Pediatrics, and the corresponding taxonomy classification code for this specialized field is 208000000X.
On what date did the Pediatric Associates Of Southern Colorado, Llc receive the assignment of its 1023234861 from the Centers for Medicare & Medicaid Services?
The Pediatric Associates Of Southern Colorado, Llc was issued its 1023234861 by the Centers for Medicare & Medicaid Services on 2007-04-18.
When was the information related to Pediatric Associates Of Southern Colorado, Llc most recently updated or refreshed?
The details pertaining to the Pediatric Associates Of Southern Colorado, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.