Individual
KAMASAMUDRAM RAVILOCHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1001 W MINERAL AVE, LITTLETON, CO 80120-4507
(303) 589-4757
Mailing address
PO BOX 630946, LITTLETON, CO 80163-0946
(303) 589-4757
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
32048
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01320480
—
CO
01
—
C801076
MEDICARE
CO
Enumeration date
02/17/2006
Last updated
04/07/2014
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