Organization
IOWA INTERNISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAUTAM KAKADE M.D. (PRESIDENT)
(641) 792-0377
Entity
Organization
Contact information
Practice address
300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
(641) 792-0377
(641) 792-3852
Mailing address
300 N 4TH AVE E, SUITE 140B, NEWTON, IA 50208-3155
(641) 792-0377
(641) 792-3852
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1475806
—
IA
01
—
247850
MIDLANDS CHOICE
IA
01
—
26694
BLUE CROSS BLUE SHIELD
IA
Enumeration date
12/06/2006
Last updated
07/11/2008
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