Pudupakkam K. Vedanthan, M.D.

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

19219 Issued in CO

Practice address

7700 W Virginia Ave
Unit B
Lakewood, CO 80226-3144

Phone

(303) 238-0471

Fax

(303) 238-6711

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Pediatric Associates of Southern Colorado, LLC

  • Allergy & Immunology Physician
  • Pueblo, CO
  • NPI 1023234861
  NPD (past) Authorized official
• Allergy Asthma Sinus Center LLC

  • Allergy & Immunology Physician
  • Lakewood, CO
  • NPI 1639239197
  NPD (past)
• Mile High Allergy Asthma & Sinus Center, LLC

  • Allergy & Immunology Physician
  • Lakewood, CO
  • NPI 1518287549
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297728000000",
    "number": "1649330184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 W VIRGINIA AVE",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263144",
            "telephone_number": "303-238-0471",
            "fax_number": "303-238-6711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 W VIRGINIA AVE",
            "address_2": "UNIT B",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802263144",
            "telephone_number": "303-238-0471",
            "fax_number": "303-238-6711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEDANTHAN",
        "first_name": "PUDUPAKKAM",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2011-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "19219",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192194",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Vasudeva, DO
• Daniel Leigh Vaudt, PHARMD, B.A.
• Carrie Beth Vaughan
• Taylor Anne Vaughn
• Maria Fatima Vazquez
• Ricardo L Vega
• James Vegliante
• Melinda Veith
• Carlos Guillermo Vela Brol, MD
• Naomi Virginai Vela

• Allergy & Immunology Physician in Lakewood, CO
• Providers in Lakewood, CO by specialty
• Allergy & Immunology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.