Provider Demographics
NPI:1932487717
Name:KARPUR, PRARTHANA SARVOTHAM (MSC)
Entity Type:Individual
Prefix:
First Name:PRARTHANA
Middle Name:SARVOTHAM
Last Name:KARPUR
Suffix:
Gender:F
Credentials:MSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6119 S MEMPHIS CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80016-3074
Mailing Address - Country:US
Mailing Address - Phone:510-396-2221
Mailing Address - Fax:
Practice Address - Street 1:500 GENEVA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80010-4305
Practice Address - Country:US
Practice Address - Phone:720-859-7887
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-28
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15248235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist