Individual
DR. PREMNATH CHINNAIYAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 LAUREL ST STE 2100, DES MOINES, IA 50314-3068
(515) 643-8611
(515) 643-8812
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 643-8611
(515) 643-8812
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
E-11469
AR
208000000X
Pediatrics Physician
Primary
MD-49786
IA
Other
Enumeration date
09/04/2012
Last updated
07/23/2022
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