Dr SREENIVASA BASAVANTHAPPA is a male medical professional, specializing in Ophthalmology. He graduated in 1997.
ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK
27 MONTEBELLO RD
PUEBLO
CO
810011236
Tel: 7195451530
| Npi | 1497953871 |
| Pac Id | 4688863954 |
| Professional Enrollment Id | I20171013000444 |
| Last Name | BASAVANTHAPPA |
| First Name | SREENIVASA |
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| Gender | M |
| Credential | |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Primary Specialty | OPHTHALMOLOGY |
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| Organization Legal Name | ROCKY MOUNTAIN EYE CENTER INC A COLORADO PROVIDER NETWORK |
| Group Practice Pac Id | 8325942089 |
| Number Of Group Practice Members | 19 |
| Line 1 Street Address | 27 MONTEBELLO RD |
| Line 2 Street Address | |
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| City | PUEBLO |
| State | CO |
| Zip Code | 810011236 |
| Phone Number | 7195451530 |
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| Professional Accepts Medicare Assignment | Y |
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