Individual
SREEDEVI KOPPISETTI JENIGIRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
(319) 356-3949
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
(319) 356-3949
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-41915
IA
207RN0300X
Nephrology Physician
Primary
MD-41915
IA
208M00000X
Hospitalist Physician
MD.205697
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00303879
—
MS
05
—
2324098
—
LA
Enumeration date
04/24/2008
Last updated
02/21/2024
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