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Individual

ROHINI REGANTI

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1225 S GEAR AVE, SUITE 152, WEST BURLINGTON, IA 52655-1691
(319) 753-1220
(319) 753-5464
Mailing address
1225 S GEAR AVE, SUITE 152, WEST BURLINGTON, IA 52655-1691
(319) 753-1220
(319) 753-5464

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
23028
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08895
BCBS OF IA PROVIDER NUMBE
IA
05
1213009
IA
Enumeration date
09/13/2005
Last updated
07/09/2007
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