Healthcare Provider Details

I. General information

NPI: 1659346898
Provider Name (Legal Business Name): SANDRA BRUNO MEYAPPAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SANDRA BRUNO-MEYAPPAN MD

II. Dates (important events)

Enumeration Date: 02/21/2006
Last Update Date: 12/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7701 SHERIDAN BLVD
WESTMINSTER CO
80003-2605
US

IV. Provider business mailing address

10350 E DAKOTA AVENUE
DENVER CO
80247-1314
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number228431
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number49732
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: