Venkatesh, Boothapuri

Venkatesh, Boothapuri is an individual health care provider with primary practice located at 202 10Th St Se Suite 225, Cedar Rapids IA 52403-2404. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Venkatesh, Boothapuri can be contacted via phone (319) 364-7101.

Contact Information

Primary practice address
202 10Th St Se Suite 225 Cedar Rapids IA 52403-2404
Phone: (319) 364-7101
Fax: (319) 363-1993
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 34555 Iowa

Profile Details

NPI number 1023093259
LBN Legal business name Venkatesh, Boothapuri
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 9th, 2005
Last updated May 24th, 2013 - about 12 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 1023093259 NPPES
Iowa MEDICAID 1023093259
Iowa Other P00817974

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