Search › Colorado › 103TA0400X
Kavya Mudiam, PHD
NPI 1508521733 · on the registry since 2021
Practice
- Address
- 660 Bannock St
Denver, CO 80204 - Phone
- (615) 663-0773
- Organisation at this address
- Denver Health
One Hour Optical Medical Services, PcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 118
Additional practice sites
- 1 Serenity Ln, Coburg, OR
- 10 Shelton Mcmurphey Blvd, Eugene, OR
Registry record
- Primary taxonomy
- 103TA0400X
103TA0400X
- Also registered as
- 101YM0800X
101YA0400X - Licence states on file
- OR, CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-07-31
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado