Individual
DR. KEERAN GHANDIVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3886
(319) 233-1630
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD-35099
IA
Other
Enumeration date
05/18/2006
Last updated
10/07/2015
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