Individual
SARAT KUPPACHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3446
(319) 356-2999
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3446
(319) 356-2999
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
39831
IA
207RN0300X
Nephrology Physician
31085
SC
207RN0300X
Nephrology Physician
Primary
39831
IA
390200000X
Student in an Organized Health Care Education/Training Program
002676
GA
Other
Enumeration date
02/18/2008
Last updated
10/19/2011
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