Kedlaya, Indira

Kedlaya, Indira is an sole proprietor health care provider with primary practice located at 1600 N Grand Ave Ste 120 , Pueblo CO 81003-2755. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Kedlaya, Indira can be contacted via phone (719) 545-9292.

Contact Information

Primary practice address
1600 N Grand Ave Ste 120 Pueblo CO 81003-2755
Phone: (719) 545-9292
Fax: (719) 545-9191
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A067008 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 44387 Colorado

Profile Details

NPI number 1891771382
LBN Legal business name Kedlaya, Indira
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 16th, 2005
Last updated Feb 11th, 2008 - about 16 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 1891771382 NPPES
Colorado MEDICAID 33471231

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