PRANEETH KUDARAVALLI MD NPI 1629495973

NPI Information

  • NPI: 1629495973
  • Provider Name: PRANEETH KUDARAVALLI, MD
  • Classification: Internal Medicine - 207RG0100X
  • Specialization: Gastroenterology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2535 S DOWNING ST STE 410
    DENVER, CO
    ZIP 80210
  • Phone: (303) 260-2740

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NPI Details

Praneeth Kudaravalli, MD is a gastroenterology internal medicine in Denver, CO with 2 years of experience. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. Praneeth Kudaravalli, MD NPI is 1629495973. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2535 S DOWNING ST STE 410
DENVER, CO
ZIP 80210-851
Phone: (303) 260-2740
Fax: (303) 260-2741

The NPI 1629495973 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 3/25/2014 and was last updated on 8/30/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207R00000XInternal Medicine51420KENTUCKYNo
2207R00000XInternal Medicine88415GEORGIANo
3208M00000XHospitalist51420KENTUCKYNo
4208M00000XHospitalist88415GEORGIANo
5207RG0100XInternal MedicineGastroenterologyDR.0073095COLORADOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
113994135OTHERCAQH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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