Healthcare Provider Details

I. General information

NPI: 1649407016
Provider Name (Legal Business Name): DHRUVA RAO GULUR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2009
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1421 S POTOMAC ST STE 320
AURORA CO
80012-4512
US

IV. Provider business mailing address

PO BOX 35380
LAS VEGAS NV
89133-5380
US

V. Phone/Fax

Practice location:
  • Phone: 303-750-1920
  • Fax: 303-750-0483
Mailing address:
  • Phone: 702-579-3203
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60256169
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: