Vedanthan, Pudupakkam K.

Vedanthan, Pudupakkam K. is an individual health care provider with primary practice located at 7700 W Virginia Ave Unit B, Lakewood CO 80226-3144. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Vedanthan, Pudupakkam K. can be contacted via phone (303) 238-0471.

Contact Information

Primary practice address
7700 W Virginia Ave Unit B Lakewood CO 80226-3144
Phone: (303) 238-0471
Fax: (303) 238-6711
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 19219 Colorado

Profile Details

NPI number 1649330184
LBN Legal business name Vedanthan, Pudupakkam K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Feb 15th, 2011 - about 13 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 1649330184 NPPES
Colorado MEDICAID 01192194

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