Individual
DR. ANAND KOMMURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBBS,MD
Contact information
Practice address
1801 E 54TH ST, STE 100, DAVENPORT, IA 52807-7209
(536) 323-1229
Mailing address
1801 E 54TH ST STE 100, DAVENPORT, IA 52807-7214
(536) 323-1229
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
41045
IA
207RP1001X
Pulmonary Disease Physician
Primary
41045
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1770819591
—
IA
Enumeration date
10/29/2009
Last updated
04/26/2021
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