Individual
JIVAN KONERU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 S OAK ST, IOWA FALLS, IA 50126-9507
(641) 648-7000
Mailing address
875 SE APPLEWOOD LN, WAUKEE, IA 50263-8406
(515) 803-0317
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/13/2025
Last updated
02/13/2025
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