Nadipuram, Mukund G

Nadipuram, Mukund G is an individual health care provider with primary practice located at 200 E Ridgeway Ave Suite 400, Waterloo IA 50702-5060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Nadipuram, Mukund G can be contacted via phone (319) 272-2070.

Contact Information

Primary practice address
200 E Ridgeway Ave Suite 400 Waterloo IA 50702-5060
Phone: (319) 272-2070
Fax: (319) 272-2077
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 26821 Iowa
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 26821 Iowa

Profile Details

NPI number 1962444349
LBN Legal business name Nadipuram, Mukund G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Apr 26th, 2016 - about 8 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962444349 NPPES
Iowa MEDICAID 1052365

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