Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | 44459 | CO |
NPI | 1174521496 |
---|---|
Provider Name | Kevin Karthik Nagamani |
First Address | Denver, CO 80218-1128 |
Second Address | Denver, CO 80218-1128 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/07/2005 |
Last Update Date | 16/11/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
200423190B | (05) | KS |
90424719 | (05) | CO |
H74857 | (02) | |
P00384799 | RR MEDICARE PIN (01) | CO |