Individual
CHITRAVATHI YERRAPAREDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 833-5830
(319) 833-5831
Mailing address
1717 W RIDGEWAY AVE, WATERLOO, IA 50701-4543
(319) 833-5700
(319) 833-5740
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
34690
IA
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
34690
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2263905
—
IA
01
—
28890
WELLMARK HEALTH CARE
IA
01
—
421417307M1
JOHNDEERE HEALTH CARE
IA
Enumeration date
12/29/2005
Last updated
08/30/2012
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