Individual
DR. PRASHOB PORAYETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD,MS
Contact information
Practice address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 384-6955
Mailing address
200 HAWKINS DR, IOWA CITY, IA 52242-1009
(319) 356-3537
(319) 384-6955
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
MD-45414
IA
2080P0202X
Pediatric Cardiology Physician
Primary
MD-45414
IA
2080P0202X
Pediatric Cardiology Physician
Q9483
TX
390200000X
Student in an Organized Health Care Education/Training Program
11014303A
IN
Other
Enumeration date
06/16/2008
Last updated
05/05/2019
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