Individual
RAVINDRA MALLAVARAPU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1015 S HACKETT RD, WATERLOO, IA 50701-3500
(319) 234-5990
(319) 234-5994
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 235-5390
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD-34574
IA
Other
Enumeration date
05/18/2006
Last updated
05/28/2024
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