Sumalatha M Gudavalli, in Aurora, CO - Physician Assistant

Sumalatha M Gudavalli, is a Physician Assistant physician based in Aurora, Colorado. Sumalatha M Gudavalli is licensed to practice in Colorado (license number PA.0001545) and her current practice location is 12605 E 16th Ave, Aurora, Colorado. She can be reached at her office (for appointments etc.) via phone at (720) 848-0000.

NPI number for Sumalatha M Gudavalli is 1770610719 and her current mailing address is Po Box 110429, Aurora, Colorado. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1770610719.

Contact Information

	Sumalatha M Gudavalli,
	12605 E 16th Ave, Aurora, CO 80045-2545
	(720) 848-0000
	Not Available

Physician's Profile

Full Name	Sumalatha M Gudavalli
Gender	Female
Speciality	Physician Assistant
Location	12605 E 16th Ave, Aurora, Colorado
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1770610719
Provider Enumeration Date: 02/27/2007
Last Update Date: 03/21/2016

Medical Identifiers

Medical identifiers for Sumalatha M Gudavalli such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1770610719	NPI	-	NPPES
98038214	Medicaid	CO
013652	Other		KAISER-COMMERCIAL NUMBER

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207N00000X	Dermatology	1545 (Colorado)	Secondary
363A00000X	Physician Assistant	PA.0001545 (Colorado)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sumalatha M Gudavalli is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Sumalatha M Gudavalli, Po Box 110429, Aurora, CO 80042-0429 Ph: (303) 493-7000	Sumalatha M Gudavalli, 12605 E 16th Ave, Aurora, CO 80045-2545 Ph: (720) 848-0000

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Sumalatha M Gudavalli, - Physician Assistant in Aurora, CO