Sumalatha M Gudavalli in Aurora - Physician Assistant

Sumalatha M Gudavalli - NPI 1770610719

Sumalatha M Gudavalli is a Physician Assistant in Aurora, Colorado. Sumalatha M Gudavalli practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Sumalatha M Gudavalli is 1770610719. The last update date is 2016-03-21.

Sumalatha M Gudavalli's current location address is 12605 E 16th Ave, Aurora, Colorado. You can contact this provider via phone number 7208480000. The mailing address for Sumalatha M Gudavalli is 12605 E 16th Ave, Aurora, Colorado. To know further, please read the information below!

Provider Profile Detail

Provider Name Sumalatha M Gudavalli
Address 12605 E 16th Ave, Aurora, Colorado
Phone Number 7208480000
Fax Number
Sole Proprietor N
Credentials --

NPI Number Detail

NPI Number 1770610719
Provider Enumeration Date 2007-02-27
Last Updated Date 2016-03-21

Provider Mailing Address Detail

Address 12605 E 16th Ave
City Aurora
State Colorado (CO)
Post Code 800452545
Phone Number 7208480000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Physician Assistant
Taxonomy 363A00000X
Licence No PA.0001545
Definition:
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
98038214 CO --
13652 KAISER-COMMERCIAL NUMBER

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FAQs about Sumalatha M Gudavalli

What is the unique provider identifier assigned to Sumalatha M Gudavalli?

The Sumalatha M Gudavalli has been issued the NPI (National Provider Identifier) 1770610719 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you share the physical location details of Sumalatha M Gudavalli?

The Sumalatha M Gudavalli is situated at 12605 E 16Th Ave, in the city of Aurora, state of CO, with the zip code 800452545.

What is Sumalatha M Gudavalli's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Sumalatha M Gudavalli is Physician Assistant, and the taxonomy code that classifies this field of practice is 363A00000X.

When did the Sumalatha M Gudavalli receive its 1770610719?

The Sumalatha M Gudavalli was issued its 1770610719 on 2007-02-27, which is the date when the organization was assigned this unique identifier.

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

The information related to Sumalatha M Gudavalli, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-03-21.

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