Boyareddygari, Suneel

Boyareddygari, Suneel is an individual health care provider with primary practice located at 1619 N Greenwood Ste 204, Pueblo CO 81003. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Boyareddygari, Suneel can be contacted via phone (719) 544-1551.

Contact Information

Primary practice address
1619 N Greenwood Ste 204 Pueblo CO 81003
Phone: (719) 544-1551
Fax: (719) 544-1493
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 241472 New York
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 45217 Colorado
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 42057 Kentucky

Profile Details

NPI number 1730262478
LBN Legal business name Boyareddygari, Suneel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Jun 25th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730262478 NPPES
Colorado MEDICAID 20705590

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