Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 125.061939 | IL |
Y | 207Q00000X | Family Doctor | DR.0055879 | CO |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | 55879 | CO |
NPI | 1134484660 |
---|---|
Provider Name | Dr. Aparna Seetharama |
First Address | Denver, CO 80256-0825 |
Second Address | Pueblo, CO 81003-2729 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2012 |
Last Update Date | 27/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
27170063 | (05) | CO |