Individual
DR. SRIVIDYA BHANDARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4545 E 9TH AVE STE 150, DENVER, CO 80220-3906
(303) 991-0993
(303) 531-6583
Mailing address
130 RAMPART WAY, DENVER, CO 80230-6440
(303) 327-4700
(303) 327-4711
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
104410
MN
207RN0300X
Nephrology Physician
Primary
49537
CO
207RN0300X
Nephrology Physician
52400
MN
207RN0300X
Nephrology Physician
57-012997
OH
Other
Enumeration date
03/28/2008
Last updated
02/26/2021
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