Individual
VARA VENKATA PADMA KAMALA KUMARI PONNADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
146 W DALE ST, SUITE 201, WATERLOO, IA 50703-1901
(319) 235-3838
(319) 235-5078
Mailing address
146 W DALE ST, SUITE 201, WATERLOO, IA 50703-1901
(319) 235-3838
(319) 235-5078
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39962
IA
207R00000X
Internal Medicine Physician
Primary
39962
IA
Other
Enumeration date
05/31/2012
Last updated
01/18/2018
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