Individual
MUDAPPA KARINERAVANDA KALAIAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2979 VICTORIA ST, BETTENDORF, IA 52722
(563) 359-4440
Mailing address
198 UNION BLVD, #150, LAKEWOOD, CO 80228-2259
(303) 892-6033
(303) 892-8809
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
6102
NE
207RR0500X
Rheumatology Physician
Primary
DR.0054308
CO
207RR0500X
Rheumatology Physician
MD-43837
IA
Other
Enumeration date
08/21/2008
Last updated
07/01/2019
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