Individual
POOJA MAYUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1111 6TH AVE, DES MOINES, IA 50314-2613
(515) 643-8350
(515) 643-5824
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8350
(515) 643-5824
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
R-12658
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
05/09/2022
Last updated
07/16/2024
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