Individual
DR. PADMARAJ SAMARENDRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1086 FRANKLIN ST, JOHNSTOWN, PA 15905-4305
(515) 699-5999
(515) 699-5906
Mailing address
1157 TULIP TREE LANE, WEST DES MOINES, IA 50266
(515) 440-1616
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD478992
PA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
34397
IA
Other
Enumeration date
08/31/2006
Last updated
05/23/2023
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