Organization
POG CEDAR RAPIDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAGENDRA S KONERU MD (OWNER)
(563) 556-3175
Entity
Organization
Contact information
Practice address
202 10TH ST SE, STE 285, CEDAR RAPIDS, IA 52403-2414
(319) 861-6944
(319) 861-6945
Mailing address
PO BOX 1086, DUBUQUE, IA 52004-1086
(563) 556-3175
(563) 594-5256
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Enumeration date
09/23/2015
Last updated
08/01/2017
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