Individual
PRANEETH KUDARAVALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2535 S DOWNING ST STE 410, DENVER, CO 80210-5851
(303) 260-2740
(303) 260-2741
Mailing address
2535 S DOWNING ST STE 410, DENVER, CO 80210-5851
(303) 260-2740
(303) 260-2741
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
51420
KY
207R00000X
Internal Medicine Physician
88415
GA
207RG0100X
Gastroenterology Physician
Primary
DR.0073095
CO
208M00000X
Hospitalist Physician
51420
KY
208M00000X
Hospitalist Physician
88415
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13994135
CAQH
—
Enumeration date
03/25/2014
Last updated
08/30/2024
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