Individual
SUDHESHNA L ROPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
300 COLORADO AVE, PUEBLO, CO 81004-2006
(719) 543-8711
(719) 543-5340
Mailing address
110 E ROUTT AVE, PUEBLO, CO 81004-2117
(719) 543-8711
(719) 543-5340
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
40841
CO
207Q00000X
Family Medicine Physician
40841
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2370237
AETNA
—
01
—
40841
COLO LICENSE
CO
05
—
54807760
—
CO
01
—
84145895001
PACIFICARE
—
01
—
P00063020
RAILROAD MEDICARE
—
01
—
SO641446
BLUE CROSS
CO
Enumeration date
08/05/2006
Last updated
03/07/2023
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