Vara Venkata Ponnada MD

NPI 1093076671 - Family Medicine - 207Q00000X

NPI Details
NPI 1093076671
Gender Female
Enumeration Date 05/31/2012
Last Updated 03/10/2015
Entity Type Individual
Active Over 4 years ago
Practice Location
146 W DALE ST
SUITE 201
WATERLOO IA, 50703-1901, US
Phone (319) 235-3838
Fax (319) 235-5078
Business Location
146 W DALE ST
SUITE 201
WATERLOO IA, 50703-1901, US
Phone (319) 235-3838
Fax (319) 235-5078
Toxanomy
Taxonomy Code 207Q00000X
License State Iowa
License Number 39962
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According to our database, Vara Venkata Ponnada MD NPI is 1093076671, taxonomy code is 207Q00000X and license number is 39962, license state is located at Iowa. Vara Venkata Ponnada MD physically located at 146 W Dale St, Waterloo IA, 50703-1901. NPI Number Vara Venkata Ponnada MD has the Individual type.

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1093076671 NPI number is provided on an as is basis without warranty of any kind. 1093076671 is maintained by the National Plan & Provider Enumeration System. The contents of Vara Venkata Ponnada MD are for informational purposes only.