Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | DR.0066893 | CO |
N | 207P00000X | Emergency Physician | MD040041L | PA |
Y | 207Q00000X | Family Doctor | DR.0066893 | CO |
NPI | 1003865676 |
---|---|
Provider Name | Dr. Sivarama Guntur |
First Address | Parker, CO 80134-5603 |
Second Address | Parker, CO 80134-5603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 30/11/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C34051 | (02) | PA |