MEDICARE: DR. HEMAMALINI ACHUTHAN 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
1	207Q00000X	Family Medicine Physician	46441	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1205982881
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEMAMALINI ACHUTHAN MD

Provider Business Mailing Address
First Line	:	5183 S JAMAICA WAY
Second Line	:
City	:	GREENWOOD VILLAGE
State	:	CO
Zip	:	80111-3825
Country	:	US
Telephone Number	:	720-238-2227
Fax Number	:

Provider Business Practice Location Address
First Line	:	8015 W ALAMEDA AVE
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80226-3041
Country	:	US
Telephone Number	:	303-202-0924
Fax Number	:	303-785-0927

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	02/05/2020

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