Individual
DIVAKARA KEDLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(206) 449-3557
Mailing address
9250 E COSTILLA AVE STE 540, GREENWOOD VILLAGE, CO 80112-3648
(206) 449-3557
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
036147433
IL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
44383
CO
208100000X
Physical Medicine & Rehabilitation Physician
A055622
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42809223
—
CO
Enumeration date
12/13/2005
Last updated
10/02/2024
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