Individual
VISWAMITRA RAGOONANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-3636
Mailing address
777 BANNOCK ST, DENVER, CO 80204-4597
(303) 436-3636
Taxonomy
Speciality
Code
Description
License number
State
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
DR.0069380
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/12/2015
Last updated
10/28/2022
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