Individual
SUJANA MADATHIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2856
(319) 356-8317
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-2856
(319) 356-8317
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-48499
IA
2080S0012X
Pediatric Sleep Medicine Physician
MD-48499
IA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
Primary
MD-48499
IA
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician
R11221
IA
Other
Enumeration date
07/21/2016
Last updated
03/21/2023
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