Lauris C Kaldjian, MD | |
105 E 9th St, Coralville, IA 52241 | |
(319) 467-2000 | |
(319) 467-2410 |
Full Name | Lauris C Kaldjian |
---|---|
Gender | Male |
Speciality | Internal Medicine |
Location | 105 E 9th St, Coralville, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790772051 | NPI | - | NPPES |
0218891 | Medicaid | IA | |
24471 | Other | IA | WELLMARK BCBS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RI0200X | Internal Medicine - Infectious Disease | 33692 (Iowa) | Secondary |
207R00000X | Internal Medicine | 33692 (Iowa) | Primary |
Entity Name | State University Of Iowa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1477554814 PECOS PAC ID: 7618884230 Enrollment ID: O20031107000060 |
Mailing Address | Practice Location Address |
---|---|
Lauris C Kaldjian, MD 200 Hawkins Dr, Iowa City, IA 52242-1009 Ph: (319) 335-6706 | Lauris C Kaldjian, MD 105 E 9th St, Coralville, IA 52241 Ph: (319) 467-2000 |
Vanaja Thondapu, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-467-2505 | |
Christina M. Charis-donelson, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-467-2410 | |
Dr. Evelyn Jeannette Ross-shapiro, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-384-8955 | |
Dr. Michael Gomendoza, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Dr, Suite 205, Coralville, IA 52241 Phone: 319-887-2900 Fax: 319-339-3858 | |
Dr. Joe Moonjely, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2769 Heartland Dr Ste 205, Coralville, IA 52241 Phone: 319-887-2900 Fax: 319-887-2904 | |
Amanda Lee Hoffman, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-467-2410 | |
Elizabeth Catherine Berigan, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 105 E 9th St, Coralville, IA 52241 Phone: 319-467-2000 Fax: 319-467-2410 |