Vijay Raveendran Pottathil M.D.

NPI 1053546945 - Internal Medicine - 207R00000X

NPI Details
NPI 1053546945
Gender Male
Enumeration Date 05/20/2009
Last Updated 05/31/2012
Entity Type Individual
Active Over 7 years ago
Practice Location
200 HAWKINS DR
IOWA CITY IA, 52242-1009, US
Phone (319) 356-2043
Fax (319) 384-8955
Business Location
200 HAWKINS DR
IOWA CITY IA, 52242-1009, US
Phone (319) 356-2043
Fax (319) 384-8955
Toxanomy
Taxonomy Code 207R00000X
License State Iowa
License Number R-8600
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According to our database, Dr. Vijay Raveendran Pottathil M.D. NPI is 1053546945, taxonomy code is 207R00000X and license number is R-8600, license state is located at Iowa. Vijay Raveendran Pottathil M.D. physically located at 200 Hawkins Dr, Iowa City IA, 52242-1009. NPI Number Vijay Raveendran Pottathil M.D. has the Individual type.

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1053546945 NPI number is provided on an as is basis without warranty of any kind. 1053546945 is maintained by the National Plan & Provider Enumeration System. The contents of Vijay Raveendran Pottathil M.D. are for informational purposes only.