Individual
SANDEEP WADHWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
12605 E 16TH AVE, AURORA, CO 80045-2545
(720) 848-0000
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
(303) 493-7000
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
38379
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
12025267
—
CO
Enumeration date
10/13/2006
Last updated
10/15/2013
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