Individual
DR. SUNEEL BOYAREDDYGARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1619 N GREENWOOD, STE 204, PUEBLO, CO 81003
(719) 544-1551
(719) 544-1493
Mailing address
90 MADISON STREET, STE 504, DENVER, CO 80206
(720) 524-1550
(720) 524-1551
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
241472
NY
207R00000X
Internal Medicine Physician
Primary
42057
KY
207R00000X
Internal Medicine Physician
45217
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20705590
—
CO
Enumeration date
10/24/2006
Last updated
06/25/2019
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