Individual
MADHURADHAR CHEGONDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242
(319) 356-1615
(319) 356-8443
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-1615
(319) 356-8443
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-45420
IA
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
MD-45420
IA
2080P0203X
Pediatric Critical Care Medicine Physician
ME113571
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
014922200
—
FL
Enumeration date
08/08/2012
Last updated
09/24/2018
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