Pediatric Associates of Southern Colorado, LLC

NPI #1023234861 in Pueblo, Colorado

Provider Information

NPI Number: 1023234861
Entity Type: Organization
Organization Name: Pediatric Associates of Southern Colorado, LLC
Primary Specialty: Allergy & Immunology
Enumeration Date: Apr 18, 2007
Last Updated: Sep 11, 2025

Practice Location

Address: 1312 N GRAND AVE
City: Pueblo
State: Colorado
ZIP Code: 81003-2718
Phone: (719) 544-2090

Authorized Official

Name: PUDUPAKKAM K VEDANTHAN, M.D.
Title: PRESIDENT
Phone: (303) 238-0471

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Allergy & Immunology	207K00000X	Primary

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