Divakara Kedlaya in Pueblo - Physical Medicine & Rehabilitation

Divakara Kedlaya - NPI 1134104037

Divakara Kedlaya is a Physical Medicine & Rehabilitation in Pueblo, Colorado. Divakara Kedlaya practices all healthcare services and medical treatments related to Physical Medicine & Rehabilitation. The NPI Number for Divakara Kedlaya is 1134104037. The last update date is 2019-02-06.

Divakara Kedlaya's current location address is 1925 E Orman Ave, Pueblo, Colorado. You can contact this provider via phone number 7195573666 and fax number 7195573633. The mailing address for Divakara Kedlaya is 1925 E Orman Ave, Pueblo, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Divakara Kedlaya
Address 1925 E Orman Ave, Pueblo, Colorado
Phone Number 7195573666
Fax Number 7195573633
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1134104037
Provider Enumeration Date 2005-12-13
Last Updated Date 2019-02-06

Provider Mailing Address Detail

Address 1925 E Orman Ave
City Pueblo
State Colorado (CO)
Post Code 810043537
Phone Number 7195573666
Fax Number 7195573633

Provider's Primary Taxonomy Detail

Speciality Physical Medicine & Rehabilitation
Taxonomy 208100000X
Licence No A055622
Definition:
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affectin

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
42809223 CO --

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FAQs about Divakara Kedlaya

What is the unique 10-digit identification code assigned to Divakara Kedlaya by the Centers for Medicare & Medicaid Services?

The Divakara Kedlaya has been issued the NPI (National Provider Identifier) 1134104037, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Divakara Kedlaya is physically located?

The Divakara Kedlaya is situated at the following address: 1925 E Orman Ave, Pueblo, CO 810043537.

What is Divakara Kedlaya's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Divakara Kedlaya's specialized field of practice is Physical Medicine & Rehabilitation, and the corresponding taxonomy code that categorizes this area of specialization is 208100000X.

When did Divakara Kedlaya receive its 1134104037 assignment?

The Divakara Kedlaya was assigned its 1134104037 on 2005-12-13, which is the date when this unique identifier was issued to the organization.

As of what date was the information pertaining to Divakara Kedlaya, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Divakara Kedlaya, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-06.

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