Individual
DR. MADHAN SRINATH IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10240 PARK MEADOWS DR, LONE TREE, CO 80124-5425
(303) 338-4545
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A118800
CA
207R00000X
Internal Medicine Physician
DR.0057835
CO
207RG0100X
Gastroenterology Physician
Primary
DR.0057835
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028997
KAISER COMMERCIAL NUMBER
CO
05
—
9000149020
—
CO
Enumeration date
12/01/2011
Last updated
05/18/2021
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