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RAMACHANDRA RAO VEMULAPALLI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1825 LOGAN AVE, WATERLOO, IA 50703-1916
(319) 235-3886
(319) 233-1630
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
(319) 233-1630

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
22009
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4184721
IA
01
42141730764
JOHN DEERE HEALTH INS
IA
01
55120
WELLMARK INS PLAN
IA
Enumeration date
05/19/2006
Last updated
10/09/2007
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