Individual
DR. MADIA CHOWDHURY RUSSILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
202 10TH ST SE STE 200, CEDAR RAPIDS, IA 52403-2434
(319) 399-2022
Mailing address
202 10TH ST SE STE 200, CEDAR RAPIDS, IA 52403-2434
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD-51400
IA
Other
Enumeration date
06/07/2018
Last updated
09/14/2023
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