Individual
SUSHANTHI KATTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Mailing address
5920 MCINTYRE ST, GOLDEN, CO 80403-7445
(303) 949-1250
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
42929
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
60921234
—
CO
Enumeration date
07/09/2006
Last updated
11/19/2015
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