Individual
DANIEL M SHIVAPOUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 LAUREL ST STE A250, DES MOINES, IA 50314-3029
(515) 235-5000
(515) 288-6713
Mailing address
PO BOX 9170, DES MOINES, IA 50306-9170
(515) 633-3600
(515) 633-3838
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
MD-45066
IA
390200000X
Student in an Organized Health Care Education/Training Program
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—
Other
Enumeration date
06/11/2009
Last updated
06/15/2020
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