# MILE HIGH ALLERGY ASTHMA & SINUS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1518287549
- **Authorized official:** DR. JAGADISH BOGGAVARAPU M.D. (PHYSICIAN)
- **Authorized official phone:** (303) 238-0471

## Contact information

- **Practice address:** 7700 W VIRGINIA AVE, UNIT B, LAKEWOOD, CO 80226-3144
- **Practice address phone:** (303) 238-0471
- **Practice address fax:** (303) 238-6711
- **Mailing address:** 7700 W VIRGINIA AVE, UNIT B, LAKEWOOD, CO 80226-3144
- **Mailing address phone:** (303) 238-0471
- **Mailing address fax:** (303) 238-6711

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | 40997 | CO | Yes |

## Other

- **Enumeration date:** 06/01/2010
- **Last updated:** 02/17/2011