Individual provider · Type 1 NPI

Amelia Sita Ravishankara

Specialist · Boulder, CO

NPI number 1154658664 Active

Practice location

580 Mohawk Drive, Baseline Medical Office
Boulder, CO 80302

Call (303) 614-1400 Map

Mailing address

7931 W 55th Ave, Apt 202
Arvada, CO 80002-3704

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1154658664

Amelia Sita Ravishankara's National Provider Identifier is 1154658664, issued on Nov 5, 2009. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Boulder, CO. The record was last updated on Nov 5, 2009.