Rupa Bontu, MD | |
4626 Progress Dr, Davenport, IA 52807-3483 | |
(563) 441-9100 | |
(563) 441-9101 |
Full Name | Rupa Bontu |
---|---|
Gender | Female |
Speciality | Internal Medicine |
Location | 4626 Progress Dr, Davenport, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407835994 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 24346 (Iowa) | Primary |
Entity Name | Great River Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1750360251 PECOS PAC ID: 5092766196 Enrollment ID: O20050207000329 |
Mailing Address | Practice Location Address |
---|---|
Rupa Bontu, MD 4626 Progress Dr, Davenport, IA 52807-3483 Ph: (563) 441-9100 | Rupa Bontu, MD 4626 Progress Dr, Davenport, IA 52807-3483 Ph: (563) 441-9100 |
Dr. Humphrey Wong, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1801 E 54th St, Ste 100, Davenport, IA 52807 Phone: 563-323-1229 Fax: 563-323-8240 | |
Devika Kir, MD Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 1236 E Rusholme St Ste 300, Davenport, IA 52803 Phone: 563-324-2992 Fax: 563-324-8562 | |
Mouhamed Walid Al Sheikha, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2162 W Kimberly Rd, Davenport, IA 52806 Phone: 563-391-1024 Fax: 563-391-1024 | |
Louis M Katz, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Davenport, IA 52804 Phone: 563-421-4244 Fax: 563-421-4285 | |
Catherine L Weideman, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1351 W Central Park Ave, Ste 350, Davenport, IA 52804 Phone: 563-421-4620 Fax: 563-421-4625 | |
Dr. Eric J Dippel, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 3385 Dexter Ct Ste 100, Davenport, IA 52807 Phone: 563-324-3818 Fax: 563-326-4280 | |
Sami Faruqui, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1970 E 53rd St, Davenport, IA 52807 Phone: 563-359-3949 Fax: 563-355-1159 |