Individual
DR. SUMANT RAWAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 E ORMAN AVE, SUITE G32, PUEBLO, CO 81004-3537
(719) 564-0883
(719) 564-0861
Mailing address
1925 E ORMAN AVE, SUITE G32, PUEBLO, CO 81004-3537
(719) 564-0883
(719) 564-0861
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25271
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01252717
—
CO
Enumeration date
05/19/2006
Last updated
04/08/2008
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