Individual
SHIVENDRA BAHADUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2769 HEARTLAND DR, SUITE 205, CORALVILLE, IA 52241-2732
(319) 688-7400
(319) 339-3858
Mailing address
PO BOX 2027, IOWA CITY, IA 52244-2027
(319) 339-3541
(319) 358-2737
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
1651-850
WI
207Q00000X
Family Medicine Physician
Primary
37835
IA
Other
Enumeration date
11/06/2006
Last updated
03/19/2013
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