| Dr Anuradha Gudavalli, MD | |
|
280 Exempla Cir, Lafayette, CO 80026-3370 | |
| (303) 338-4545 | |
| Not Available |
| Full Name | Dr Anuradha Gudavalli |
|---|---|
| Gender | Female |
| Speciality | Internal Medicine - Interventional Cardiology |
| Location | 280 Exempla Cir, Lafayette, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205963238 | NPI | - | NPPES |
| 015668 | Other | KAISER-COMMERCIAL NUMBER | |
| 42685044 | Medicaid | CO |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | 42640 (Colorado) | Secondary |
| 207RI0011X | Internal Medicine - Interventional Cardiology | DR.0042640 (Colorado) | Primary |
| Entity Name | Colorado Permanente Medical Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1760599724 PECOS PAC ID: 1254238454 Enrollment ID: O20031216000640 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Anuradha Gudavalli, MD 2500 S Havana St, Aurora, CO 80014-1618 Ph: (303) 338-4545 | Dr Anuradha Gudavalli, MD 280 Exempla Cir, Lafayette, CO 80026-3370 Ph: (303) 338-4545 |
Dr. Samer K Khodor, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 720-536-6450 | |
Dr. Heather A Raff, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Cristina Fernandez Conklin, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 200 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Peter Boulos, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 200 Exempla Cir Ste 310, Lafayette, CO 80026 Phone: 303-689-6420 | |
Dr. Amy N Duckro, DO Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 | |
Dr. Austin J Lammers, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-724-6031 | |
Laurence J Connors, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 280 Exempla Cir, Lafayette, CO 80026 Phone: 303-338-4545 |