Individual
DR. PRADEEP MANJANBAIL RAMESH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3838
(319) 235-5272
Mailing address
4205 CARLTON DR, CEDAR FALLS, IA 50613-7542
(319) 553-2297
(319) 553-2297
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
37071
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0076372
—
IA
05
—
1053349167
—
IA
01
—
57177
WELLMARK
IA
Enumeration date
06/29/2006
Last updated
09/05/2015
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