Individual
DR. TAJ M KATTAPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10700 E GEDDES AVE STE 200, ENGLEWOOD, CO 80112
(303) 761-9190
(720) 874-4462
Mailing address
10700 E GEDDES AVE STE 200, ENGLEWOOD, CO 80112-3861
(303) 761-9190
(720) 874-4462
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
249947
MA
2085R0202X
Diagnostic Radiology Physician
Primary
55404
CO
2085R0202X
Diagnostic Radiology Physician
975
WI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29307767
—
CO
01
—
758198
MEDICARE
CO
01
—
758199
MEDICARE
CO
01
—
758200
ME
CO
01
—
758201
MEDICARE
CO
01
—
758202
MEDICARE
CO
01
—
NA1214137
MEDICARE
NE
01
—
NA1215138
MEDICARE
NE
01
—
NA2517114
MEDICARE
NE
Enumeration date
06/17/2009
Last updated
07/21/2022
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