Individual
INDIRA INABATHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9000 WOODED POINT DR, JOHNSTON, IA 50131-4742
(520) 245-6991
Mailing address
9000 WOODED POINT DR, JOHNSTON, IA 50131-4742
(520) 245-6991
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
A173974
IA
Other
Enumeration date
04/26/2023
Last updated
05/01/2023
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