Individual
DR. THEJASVI THIRUVOIPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
280 EXEMPLA CIR, LAFAYETTE, CO 80026-3370
(303) 724-2105
Mailing address
10350 E DAKOTA AVE, DENVER, CO 80247-1314
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.058303
IL
207RC0000X
Cardiovascular Disease Physician
Primary
DR.0059265
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
028469
KSISER COMMERCIAL NUMBER
CO
Enumeration date
09/10/2010
Last updated
05/23/2021
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