Individual
DR. JERUSA KAMALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1250 9TH STREET, DES MOINES, IA 50316-2765
(515) 263-2600
(515) 263-2620
Mailing address
1250 E 9TH ST, DES MOINES, IA 50316-2316
(515) 263-2600
(515) 263-2620
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34967
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0284695
—
IA
05
—
1285601641
—
IA
Enumeration date
03/03/2006
Last updated
02/10/2015
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