Individual
JERRY M KOVOOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS, MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1007
(319) 353-7123
(319) 356-2220
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
SP196
IA
2085R0202X
Diagnostic Radiology Physician
01077141A
IN
2085R0204X
Vascular & Interventional Radiology Physician
Primary
01077141A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201383550
—
IN
01
—
959090042
MEDICARE PTAN
IN
Enumeration date
09/09/2009
Last updated
03/19/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us