Organization
PHYSICAL MEDICINE & REHABILITATION ASSOCIATES OF NORTHEAST IOWA, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FARID FREDERIK MANSHASI M.D. (PRESIDENT/OWNER)
(319) 234-0109
Entity
Organization
Contact information
Practice address
1026 A AVE NE, CEDAR RAPIDS, IA 52402-5036
(319) 369-7211
Mailing address
PO BOX 238, WATERLOO, IA 50704-0238
(319) 234-0109
(319) 234-5774
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
27493
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
IB1110
MEDICARE GROUP IB1110
IA
Enumeration date
07/29/2008
Last updated
03/09/2024
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