Prudhvi Regula, | |
21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | |
(319) 272-5000 | |
Not Available |
Full Name | Prudhvi Regula |
---|---|
Gender | Male |
Speciality | Allergy & Immunology |
Location | 21 W Jefferson St Ste 103, Waterloo, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386139244 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207K00000X | Allergy & Immunology | MD-50891 (Iowa) | Primary |
Entity Name | Covenant Medical Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 |
Mailing Address | Practice Location Address |
---|---|
Prudhvi Regula, 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 Ph: (319) 272-5000 | Prudhvi Regula, 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 Ph: (319) 272-5000 |
Felipe Coscolluela Javier Iii, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5825 | |
David Carter Redfern, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1753 W Ridgeway Ave, Ste 106, Waterloo, IA 50701 Phone: 319-833-5982 Fax: 319-833-5983 |