Organization
BURLINGTON UROLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KRAMAR R MULLENGI MD (PRESIDENT)
(319) 753-2747
Entity
Organization
Contact information
Practice address
400 S BROADWAY ST, BURLINGTON, IA 52601
(319) 753-2747
(319) 752-4300
Mailing address
400 S BROADWAY ST, BURLINGTON, IA 52601
(319) 753-2747
(319) 752-4300
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
31796
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
152454
—
IA
01
—
40017885
RR MEDICARE
IA
01
—
4517
BCBS
IA
Enumeration date
12/13/2005
Last updated
08/22/2020
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