Kandukuri, Rajeev

Kandukuri, Rajeev is an individual health care provider with primary practice located at 12230 Lioness Way , Parker CO 80134-5603. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Kandukuri, Rajeev can be contacted via phone (720) 644-9355.

Contact Information

Primary practice address
12230 Lioness Way Parker CO 80134-5603
Phone: (720) 644-9355
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125-051456 Illinois
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 125-051456 Illinois
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 49635 Colorado
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 49635 Colorado

Profile Details

NPI number 1770704025
LBN Legal business name Kandukuri, Rajeev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2007
Last updated Aug 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770704025 NPPES
Colorado MEDICAID 13831089

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