Individual
SRINIVAS BANDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2923 GINNALA DR, LOVELAND, CO 80538-2702
(970) 669-6660
(970) 663-0721
Mailing address
1627 E 18TH ST, LOVELAND, CO 80538-4209
(970) 663-0135
(970) 461-1422
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
04-06358
KS
2084N0400X
Neurology Physician
Primary
48281
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22008764
—
CO
Enumeration date
03/22/2007
Last updated
05/19/2010
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