Individual
PRUDHVI REGULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
21 W JEFFERSON ST STE 103, WATERLOO, IA 50701-1341
(319) 272-5000
Mailing address
21 W JEFFERSON ST STE 103, WATERLOO, IA 50701-1341
(319) 272-5000
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD-50891
IA
Other
Enumeration date
06/24/2018
Last updated
07/13/2023
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