Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Pediatric Associates of Southern Colorado, LLC

Organization Allergy & Immunology Physician · NPI 1023234861

Pediatric Associates of Southern Colorado, LLC is an Allergy & Immunology Physician in Pueblo, Colorado. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1312 N Grand Ave
Pueblo, CO 81003-2718
Phone: (719) 544-2090
Fax: (719) 544-2094
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy & Immunology Physician (primary) Taxonomy 207K00000X
Pediatrics Physician Taxonomy 208000000X

Record details

NPI number1023234861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pudupakkam Vedanthan — President · (303) 238-0471
NPI enumeratedApril 18, 2007
Last updated in NPPESSeptember 11, 2025
Mailing address2020 Wadsworth Blvd, Suite 13a, Lakewood, CO 80214-5728

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