Individual
SIVA PRASAD JAGARLAPUDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 LAUREL ST, SUITE 2350, DES MOINES, IA 50314-3017
(515) 280-4700
(515) 280-4701
Mailing address
411 LAUREL ST STE 2350, DES MOINES, IA 50314-3026
(515) 280-4700
(515) 280-4701
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
29097
IA
207RN0300X
Nephrology Physician
Primary
29097
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770533952
WELLMARK BCBS
IA
05
—
1770533952
—
IA
01
—
P00329641
RAILROAD MEDICARE
IA
Enumeration date
05/11/2006
Last updated
01/06/2015
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