Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 60749 | CO |
N | 111NI0900X | Internist | 60749 | CO |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | 60749 | CO |
Y | 207RC0000X | Internist - Cardiovascular Disease | 60749 | CO |
NPI | 1699086827 |
---|---|
Provider Name | Dr. Santi Yarlagadda |
First Address | Denver, CO 80206-2761 |
Second Address | Denver, CO 80206-2761 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/06/2010 |
Last Update Date | 17/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1699086827 | (05) | CO |
708467 | MEDICARE PTAN (01) | CO |
FY6722816 | DEA (01) | CO |