Individual
SRUTI PRADHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S PEORIA ST, #100, AURORA, CO 80014-5476
(303) 306-4321
(303) 306-4347
Mailing address
2400 S PEORIA ST, #100, AURORA, CO 80014-5476
(303) 306-4321
(303) 306-4347
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
074074
GA
207R00000X
Internal Medicine Physician
50168
CO
208M00000X
Hospitalist Physician
074074
GA
208M00000X
Hospitalist Physician
Primary
ME159650
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
77759273
—
CO
05
—
PENDING
—
GA
Enumeration date
01/06/2009
Last updated
11/22/2023
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