Dr Madia Chowdhury Russillo, MD | |
202 10th St Se Ste 200, Cedar Rapids, IA 52403-2434 | |
(319) 399-2022 | |
Not Available |
Full Name | Dr Madia Chowdhury Russillo |
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Gender | Female |
Speciality | Otolaryngology |
Location | 202 10th St Se Ste 200, Cedar Rapids, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609369412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Y00000X | Otolaryngology | MD-51400 (Iowa) | Primary |
Entity Name | Physicians' Clinic Of Iowa, Pc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1821075599 PECOS PAC ID: 2163325242 Enrollment ID: O20040128000886 |
Mailing Address | Practice Location Address |
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Dr Madia Chowdhury Russillo, MD 202 10th St Se Ste 200, Cedar Rapids, IA 52403-2434 Ph: () - | Dr Madia Chowdhury Russillo, MD 202 10th St Se Ste 200, Cedar Rapids, IA 52403-2434 Ph: (319) 399-2022 |
Dr. Melanie Lucille Giesler-spellman, D.O Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Cedar Rapids, IA 52403 Phone: 319-399-2022 | |
Dr. Shane A Gailushas, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: Mercy Ear Nose And Throat Clinic, 901 8th Avenue Se, Cedar Rapids, IA 52401 Phone: 319-398-6900 Fax: 319-398-6901 | |
Michael Steven Telisak, M.D. Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 202 10th St Se, Suite 200, Cedar Rapids, IA 52403 Phone: 319-399-2022 Fax: 319-399-2014 | |
Jeffrey Scot Krivit, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 202 10th Street Se, Cedar Rapids, IA 52403 Phone: 319-399-2022 Fax: 319-399-2014 | |
Jasmine Hernandez, Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 901 8th Ave Se, Cedar Rapids, IA 52401 Phone: 319-398-6900 Fax: 319-398-6901 | |
Kevin Michael Carpenter, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 202 10th Street Se, Cedar Rapids, IA 52403 Phone: 319-399-2022 Fax: 319-399-2014 |