Provider Demographics
NPI:1588733968
Name:SURAPANANI, SIVA P (MD)
Entity type:Individual
Prefix:
First Name:SIVA
Middle Name:P
Last Name:SURAPANANI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2400 S PEORIA ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-5476
Mailing Address - Country:US
Mailing Address - Phone:303-306-4321
Mailing Address - Fax:303-306-4350
Practice Address - Street 1:850 E HARVARD AVE
Practice Address - Street 2:SUITE 305
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-5073
Practice Address - Country:US
Practice Address - Phone:303-306-4321
Practice Address - Fax:303-306-4350
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2010-11-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO47119207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine