# PISIPATI LLC

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

## Provider details

- **NPI number:** 1326317538
- **Authorized official:** PRABHAKAR PISIPATI M.D (OWNER)
- **Authorized official phone:** (563) 219-0675

## Contact information

- **Practice address:** 550 33RD AVE N, CLINTON, IA 52732-1585
- **Practice address phone:** (563) 242-0560
- **Mailing address:** PO BOX 862, CLINTON, IA 52733-0862
- **Mailing address phone:** (563) 219-0675

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282N00000X | General Acute Care Hospital | — | NULL | — |
| 313M00000X | Nursing Facility/Intermediate Care Facility | — | NULL | — |
| 320900000X | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/16/2011
- **Last updated:** 12/16/2011