person
Dr. Jayachandra Babu Vavilathota, MD
Student in an Organized Health Care Education/Training Program in Waterloo, Iowa
NPI 1942455746

Jayachandra Babu Vavilathota is a Student in an Organized Health Care Education/Training Program based in Des Moines, IA. Jayachandra Babu Vavilathota practices in Waterloo, IA and has the professional credentials of MD. The NPI Number for Jayachandra Babu Vavilathota is 1942455746 and holds a License No. (Iowa).

The current practice location address for Jayachandra Babu Vavilathota is 146 W Dale St, Waterloo, IA and can be reached out via phone at 319-234-4431 and via fax at 319-235-5004.

Location: 146 W Dale St, Waterloo, IA, 50306-1455
person
Provider Profile Details
NPI Number
1942455746
Provider Name
Jayachandra Babu Vavilathota
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
146 W Dale St, Waterloo, IA, 50306-1455
Phone Number
319-234-4431
Fax Number
319-235-5004
Provider Enumeration Date
11/20/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1942455746 05 IA
P00741043 01 IA RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
146 W Dale St
City
State
Zip
50703-1901
Phone Number
319-234-4431
Fax Number
319-235-5004
person
Provider Business Mailing Address Details
Address
146 W Dale St
City
State
Zip
50703-1901
Phone Number
319-234-4431
Fax Number
319-235-5004
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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