Individual
DR. BIJOY DAMODARAN THATTALIYATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, DEPARTMENT OF PEDIATRICS, IOWA CITY, IA 52242-1009
(352) 219-6107
Mailing address
200 HAWKINS DR, DEPARTMENT OF PEDIATRICS, IOWA CITY, IA 52242-1009
(352) 219-6107
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
2011-01418
NC
2080P0202X
Pediatric Cardiology Physician
MD-43679
IA
Other
Enumeration date
03/31/2008
Last updated
08/11/2016
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