Individual
MRS. MADHURI BOBBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1200 CARSON AVE STE 103, LA JUNTA, CO 81050-2700
(719) 383-5925
(719) 383-5928
Mailing address
1200 CARSON AVE STE 103, LA JUNTA, CO 81050-2700
(719) 383-5925
(719) 383-5928
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DR44733
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03171027
—
CO
01
—
BO678330
BLUE CROSS
CO
01
—
P00370636
RAILROAD MEDICARE
CO
Enumeration date
08/01/2006
Last updated
04/18/2008
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