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Individual

SHASHINATH KATHARAGHATTA CHANDRAHASEGOWDA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5041 UTICA RIDGE RD, DAVENPORT, IA 52807-3480
(563) 359-9696
(563) 359-1730
Mailing address
5041 UTICA RIDGE RD, DAVENPORT, IA 52807-3480
(563) 359-9696
(563) 359-1730

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
37177
IA

Other

Enumeration date
06/14/2007
Last updated
10/29/2007
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