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
Fax: (970) 221-9654
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417983891 NPPES
Colorado Other 391636ZMHC MEDICARE PTAN
Colorado Other W27259 MEDICARE PTAN
Colorado MEDICAID 01271717 MEDICARE PTAN

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