Boothapuri Venkatesh MD

NPI 1023093259 - Internal Medicine - 207RC0000X

NPI Details
NPI 1023093259
Gender Male
Enumeration Date 12/09/2005
Last Updated 05/24/2013
Entity Type Individual
Active Over 10 years ago
Practice Location
202 10TH ST SE
SUITE 225
CEDAR RAPIDS IA, 52403-2404, US
Phone (319) 364-7101
Fax (319) 363-1993
Business Location
202 10TH ST SE
SUITE 225
CEDAR RAPIDS IA, 52403-2404, US
Phone (319) 364-7101
Fax (319) 363-1993
Toxanomy
Taxonomy Code 207RC0000X
License State Iowa
License Number 34555
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According to our database, Boothapuri Venkatesh MD NPI is 1023093259, taxonomy code is 207RC0000X and license number is 34555, license state is located at Iowa. Boothapuri Venkatesh MD physically located at 202 10th St Se, Cedar Rapids IA, 52403-2404. NPI Number Boothapuri Venkatesh MD has the Individual type.

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1023093259 NPI number is provided on an as is basis without warranty of any kind. 1023093259 is maintained by the National Plan & Provider Enumeration System. The contents of Boothapuri Venkatesh MD are for informational purposes only.