Individual
MRS. GOWTHAMI KOORAPATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3421 W 9TH ST, WATERLOO, IA 50702-5401
(319) 272-8349
(319) 272-8355
Mailing address
808 ROSS LN, MCHENRY, IL 60050
(845) 480-6275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
61328084955K
IL
207R00000X
Internal Medicine Physician
MD-50633
IA
Other
Enumeration date
05/22/2020
Last updated
07/05/2023
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