Gudavalli, Anuradha

Gudavalli, Anuradha is an individual health care provider with primary practice located at 280 Exempla Cir , Lafayette CO 80026-3370. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is her primary health care specialty. Gudavalli, Anuradha can be contacted via phone (303) 338-4545.

Contact Information

Primary practice address
280 Exempla Cir Lafayette CO 80026-3370
Phone: (303) 338-4545
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 42640 Colorado
Allopathic & Osteopathic Physicians / Interventional Cardiology 207RI0011X DR.0042640 Colorado

Profile Details

NPI number 1205963238
LBN Legal business name Gudavalli, Anuradha
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 27th, 2007
Last updated May 6th, 2021 - about 3 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 1205963238 NPPES
Other 015668 KAISER-COMMERCIAL NUMBER
MEDICAID 42685044 KAISER-COMMERCIAL NUMBER

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