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NPI Code Detail

MEDICARE: DR. MONITA POUDYAL MD

MEDICARE: DR. MONITA POUDYAL MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology Physician44430CO

General Provider Information

NPI Number : 1205805470
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MONITA POUDYAL MD
Provider Business Mailing Address
First Line : 2594 TRAILRIDGE DR E
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3186
Country : US
Telephone Number : 303-449-7740
Fax Number : 303-604-5393
Provider Business Practice Location Address
First Line : 2594 TRAILRIDGE DR E
Second Line :
City : LAFAYETTE
State : CO
Zip : 80026-3186
Country : US
Telephone Number : 303-449-7740
Fax Number : 303-604-5393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/17/2006
Last Update Date : 10/18/2022

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Directions to “ DR. MONITA POUDYAL MD” Practice Location

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