Individual
MR. PRASAD R PALAKURTHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1301 PENN AVE, STE 100, DES MOINES, IA 50316-2350
(515) 263-2400
(515) 263-2540
Mailing address
1301 PENN AVE, STE 100, DES MOINES, IA 50316-2350
(515) 263-2400
(515) 263-2540
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
26154
IA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
26154
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014459
GROUP MISSOURI MEDICARE
MO
05
—
1114909058
—
IA
05
—
2043836
—
IA
Enumeration date
11/16/2005
Last updated
08/15/2012
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