# IOWA INTERNISTS PC

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

## Provider details

- **NPI number:** 1285793588
- **Authorized official:** DR. GAUTAM KAKADE M.D. (PRESIDENT)
- **Authorized official phone:** (641) 792-0377

## Contact information

- **Practice address:** 300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
- **Practice address phone:** (641) 792-0377
- **Practice address fax:** (641) 792-3852
- **Mailing address:** 300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
- **Mailing address phone:** (641) 792-0377
- **Mailing address fax:** (641) 792-3852

## Taxonomy

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

## Other

- **Enumeration date:** 12/06/2006
- **Last updated:** 07/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1475806 | — | IA |
| 01 | — | 247850 | MIDLANDS CHOICE | IA |
| 01 | — | 26694 | BLUE CROSS BLUE SHIELD | IA |