Kailasam, Velusamy
Kailasam, Velusamy is an individual health care provider with primary practice located at 2121 E Harmony Rd , Fort Collins CO 80528-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Kailasam, Velusamy can be contacted via phone (970) 221-2370.Contact Information
Primary practice address
2121 E Harmony Rd
Fort Collins CO 80528-3400
Phone: (970) 221-2370
Fax: (970) 221-9654
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Allergy & Immunology | 207K00000X | 27171 | Colorado |
Profile Details
NPI number | 1417983891 |
---|---|
LBN Legal business name | Kailasam, Velusamy |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2006 |
Last updated | Jan 25th, 2018 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1417983891 | NPPES |
Colorado | Other | 391636ZMHC | MEDICARE PTAN |
Colorado | Other | W27259 | MEDICARE PTAN |
Colorado | MEDICAID | 01271717 | MEDICARE PTAN |
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