Healthcare Provider Details

I. General information

NPI: 1730343484
Provider Name (Legal Business Name): ABHINETRI PANDULA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ABBY PANDULA

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 03/31/2026
Certification Date: 03/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

IV. Provider business mailing address

10350 E DAKOTA AVE
DENVER CO
80247-1314
US

V. Phone/Fax

Practice location:
  • Phone: 303-338-4545
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number256851
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-17370
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0076439
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: