Individual
PUDUPAKKAM K. VEDANTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7700 W VIRGINIA AVE, UNIT B, LAKEWOOD, CO 80226-3144
(303) 238-0471
(303) 238-6711
Mailing address
7700 W VIRGINIA AVE, UNIT B, LAKEWOOD, CO 80226-3144
(303) 238-0471
(303) 238-6711
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
19219
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01192194
—
CO
Enumeration date
12/12/2006
Last updated
02/15/2011
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