Individual
DR. SANTHI KEERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 274-1000
(319) 292-6526
Mailing address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 274-1000
(319) 292-6526
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38555
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0-619-248-8
ECFMG
—
05
—
1851515688
—
IA
01
—
CC6519
RR MEDICARE
IA
01
—
P00914938
RR MEDICARE
IA
Enumeration date
04/12/2007
Last updated
03/02/2016
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