Thadepalli, Fernando

Thadepalli, Fernando is an individual health care provider with primary practice located at 12230 Lioness Way , Parker CO 80134-5603. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Thadepalli, Fernando can be contacted via phone (720) 644-9355.

Contact Information

Primary practice address
12230 Lioness Way Parker CO 80134-5603
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 43458 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X DR.0059540 Colorado

Profile Details

NPI number 1821075821
LBN Legal business name Thadepalli, Fernando
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 30th, 2005
Last updated Sep 30th, 2021 - about 5 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 1821075821 NPPES
Colorado MEDICAID 9000164657

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