Individual
VELUSAMY KAILASAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 E HARMONY RD, FORT COLLINS, CO 80528-3400
(970) 221-2370
(970) 221-9654
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2163
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
27171
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01271717
—
CO
01
—
391636ZMHC
MEDICARE PTAN
CO
01
—
W27259
MEDICARE PTAN
WY
Enumeration date
06/25/2006
Last updated
01/25/2018
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