Individual
DR. VAMAN S JAKRIBETTUU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
207RG0100X
Gastroenterology Physician
Primary
39652
CO
207RG0100X
Gastroenterology Physician
7378A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01673785
—
CO
01
—
018426
KAISER COMMERCIAL NUMBER
CO
05
—
122895100
—
WY
Enumeration date
06/11/2006
Last updated
06/09/2021
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