Individual
DR. MUKUND G NADIPURAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 E RIDGEWAY AVE, SUITE 400, WATERLOO, IA 50702-5060
(319) 272-2070
(319) 272-2077
Mailing address
2101 KIMBALL AVE # LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
26821
IA
207RH0003X
Hematology & Oncology Physician
Primary
26821
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1052365
—
IA
Enumeration date
06/12/2006
Last updated
04/26/2016
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