Individual
NAVEEN R KANATHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4480 UTICA RIDGE RD, SUITE 108, BETTENDORF, IA 52722-1656
(563) 742-5250
(563) 742-5255
Mailing address
4480 UTICA RIDGE RD, SUITE 108, BETTENDORF, IA 52722-1656
(563) 742-5250
(563) 742-5255
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
036.133781
IL
207RP1001X
Pulmonary Disease Physician
040317
CT
207RP1001X
Pulmonary Disease Physician
Primary
41197
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01362487
RR MEDICARE
IL
01
—
P01362492
RR MEDICARE
IA
Enumeration date
06/15/2005
Last updated
02/05/2015
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