Individual
DR. SAMYUKTHA RAMAVARAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5300
Mailing address
4321 53RD AVE, BETTENDORF, IA 52722-1269
(563) 421-5300
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
44464
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/29/2011
Last updated
05/02/2021
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