Organization
ALLERGY ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PATTAYA KULLAVAN MD (PRESIDENT)
(319) 364-5191
Entity
Organization
Contact information
Practice address
1601 FIRST AVE SE, CEDAR RAPIDS, IA 52402-5454
(319) 364-5191
(319) 364-1511
Mailing address
1601 1ST AVENUE SE, CEDAR RAPIDS, IA 52402-5454
(319) 364-5191
(319) 364-1511
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
20556
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015446
—
IA
Enumeration date
10/23/2006
Last updated
08/22/2020
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