Organization
DIGESTIVE HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRA MALLAVARAPU MD (PRESIDENT)
(319) 234-5990
Entity
Organization
Contact information
Practice address
1015 S HACKETT RD STE B, WATERLOO, IA 50701-3500
(319) 406-5990
(319) 429-7950
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2021
Last updated
04/23/2021
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