Individual
SHIVANI VASUDEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
255 UNION BLVD STE 200, LAKEWOOD, CO 80228-1833
(303) 763-5111
Mailing address
255 UNION BLVD STE 200, LAKEWOOD, CO 80228-1833
(303) 763-5111
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DR.0073295
CO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/03/2020
Last updated
07/05/2024
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