Individual
SHANKAR MULLOTH NANDAKUMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13123 E 16TH AVE, AURORA, CO 80045-7106
(720) 777-1234
Mailing address
PO BOX 110429, AURORA, CO 80042-0429
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
DR.0073288
CO
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
DR.0073288
CO
Other
Enumeration date
05/05/2020
Last updated
08/21/2025
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