Individual
DR. DEEPTHI VENKAT BYREDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7632
(719) 503-7233
Mailing address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4613
(719) 526-7632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT193378
PA
207R00000X
Internal Medicine Physician
RS2009-0372
NM
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD2011-0564
NM
Other
Enumeration date
07/07/2009
Last updated
02/27/2025
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