Sourav Poddar MD

NPI 1750496733 - Family Medicine - 207QS0010X

NPI Details
NPI 1750496733
Gender Male
Enumeration Date 08/20/2006
Last Updated 10/05/2012
Entity Type Individual
Active Over 10 years ago
Practice Location
12605 E 16TH AVE
AURORA CO, 80045-2545, US
Phone (720) 848-0000
Business Location
PO BOX 110429
AURORA CO, 80042-0429, US
Phone (303) 493-7000
Taxonomy Code 207QS0010X
License State Colorado
License Number 37379
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According to our database, Sourav Poddar MD NPI is 1750496733, taxonomy code is 207QS0010X and license number is 37379, license state is located at Colorado. Sourav Poddar MD physically located at 12605 E 16th Ave, Aurora CO, 80045-2545. NPI Number Sourav Poddar MD has the Individual type.

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1750496733 NPI number is provided on an as is basis without warranty of any kind. 1750496733 is maintained by the National Plan & Provider Enumeration System. The contents of Sourav Poddar MD are for informational purposes only.