Individual
ADITI DERASHRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 LAUREL ST, DES MOINES, IA 50314-3024
(515) 612-9595
(515) 643-4662
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8678
(515) 643-5802
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-51126
IA
207Q00000X
Family Medicine Physician
R-11596
IA
Other
Enumeration date
05/30/2019
Last updated
04/14/2023
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