Individual
MANASAWEE TANARIYAKUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-8133
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MDR-8343
HI
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
R-13417
IA
Other
Enumeration date
06/20/2022
Last updated
07/08/2025
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