# NAGARATHNAMMA NADIPURAM, MD, PLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154355840
- **Authorized official:** NAGARATHNAMMA NADIPURAM M.D. (OWNER)
- **Authorized official phone:** (319) 235-3178

## Contact information

- **Practice address:** 212 W DALE ST, WATERLOO, IA 50703-1951
- **Practice address phone:** (319) 235-3178
- **Practice address fax:** (319) 274-6776
- **Mailing address:** PO BOX 2400, WATERLOO, IA 50704-2400
- **Mailing address phone:** (319) 233-3044
- **Mailing address fax:** (319) 233-0722

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2006
- **Last updated:** 07/30/2007