Individual
SANDHYA TADIKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1236 E ELIZABETH ST, SUITE 3, FORT COLLINS, CO 80524-4000
(970) 488-1666
(970) 472-9381
Mailing address
1236 E ELIZABETH ST, SUITE 3, FORT COLLINS, CO 80524-4000
(970) 488-1666
(970) 472-9381
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
49273
CO
208M00000X
Hospitalist Physician
Primary
49273
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11324872
—
CO
01
—
P01020619
MEDICARE RR
CO
Enumeration date
05/07/2008
Last updated
12/03/2012
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