Individual
GUSTAVO ANDRADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-2868
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 467-2868
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
SP-0269
IA
2085N0700X
Neuroradiology Physician
SP-0269
IA
2085R0202X
Diagnostic Radiology Physician
SP-0269
IA
2085R0203X
Therapeutic Radiology Physician
SP-0269
IA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
SP-0269
IA
2085U0001X
Diagnostic Ultrasound Physician
SP-0269
IA
Other
Enumeration date
08/29/2023
Last updated
04/24/2025
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