Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 0061971 | CO |
Y | 2080P0204X | Pediatric Emergency Doctor | 061971 | CO |
NPI | 1235593047 |
---|---|
Provider Name | Sindhu Sudanagunta |
First Address | Aurora, CO 80045-7106 |
Second Address | Aurora, CO 80045-7106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/04/2016 |
Last Update Date | 26/03/2020 |