Provider Demographics
NPI:1962796342
Name:VELLORE, AJAY RAJKUMAR (MD)
Entity type:Individual
Prefix:
First Name:AJAY
Middle Name:RAJKUMAR
Last Name:VELLORE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:8000 E MAPLEWOOD AVE
Mailing Address - Street 2:STE 200
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-4727
Mailing Address - Country:US
Mailing Address - Phone:480-563-6400
Mailing Address - Fax:480-563-8009
Practice Address - Street 1:755 HERITAGE RD
Practice Address - Street 2:SUITE 100
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80401-3600
Practice Address - Country:US
Practice Address - Phone:303-569-8210
Practice Address - Fax:303-227-0714
Is Sole Proprietor?:No
Enumeration Date:2011-06-03
Last Update Date:2016-11-16
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Provider Licenses
StateLicense IDTaxonomies
CODR.0057448207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology