Provider Demographics
NPI:1801681531
Name:SALUS INTEGRATED MEDICAL PARTNERS LLC
Entity type:Organization
Organization Name:SALUS INTEGRATED MEDICAL PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:LOKESH
Authorized Official - Middle Name:
Authorized Official - Last Name:KYATHANAHALLI PUTTALINGAPPA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-634-0967
Mailing Address - Street 1:5425 JARMAN ST
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80906-8210
Mailing Address - Country:US
Mailing Address - Phone:909-634-0967
Mailing Address - Fax:
Practice Address - Street 1:5425 JARMAN ST
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80906-8210
Practice Address - Country:US
Practice Address - Phone:909-634-0967
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty