Kantamneni, Jagadamba
Kantamneni, Jagadamba is an individual health care provider with primary practice located at 1512 Morgan St , Keokuk IA 52632-4028. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as her primary health care specialty. Kantamneni, Jagadamba can be contacted via phone (319) 524-7123.Contact Information
Primary practice address
1512 Morgan St
Keokuk IA 52632-4028
Phone: (319) 524-7123
Fax: (319) 524-7123
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25219 | Iowa |
Profile Details
| NPI number | 1356343347 |
|---|---|
| LBN Legal business name | Kantamneni, Jagadamba |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2005 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356343347 | NPPES |
| Iowa | MEDICAID | 0234047 |
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