Individual
PARAG SAMPAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
146 W DALE ST, SUITE 201, WATERLOO, IA 50703-1901
(319) 234-4431
(319) 235-5004
Mailing address
146 W DALE ST, SUITE 201, WATERLOO, IA 50703-1901
(319) 234-4431
(319) 235-5004
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD-37542
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036111150
—
IL
05
—
1508823998
—
IA
Enumeration date
04/28/2006
Last updated
08/08/2016
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