| American Gold Health Pro Llc | |
|
1120 Depot Ln Se Ste 100 Cedar Rapids IA 52401-2547 | |
| (319) 237-3193 | |
| Not Available |
| Full Name | American Gold Health Pro Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1120 Depot Ln Se Ste 100, Cedar Rapids, Iowa |
| Authorized Official Name and Position | Karla Orea (OWNER) |
| Authorized Official Contact | 3192373193 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| American Gold Health Pro Llc 1120 Depot Ln Se Ste 100 Cedar Rapids IA 52401-2547 Ph: (319) 237-3193 | American Gold Health Pro Llc 1120 Depot Ln Se Ste 100 Cedar Rapids IA 52401-2547 Ph: (319) 237-3193 |
| NPI Number | 1780380782 |
|---|---|
| Provider Enumeration Date | 02/01/2023 |
| Last Update Date | 02/01/2023 |
| Medicare PECOS PAC ID | 9739551979 |
|---|---|
| Medicare Enrollment ID | O20230215002830 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780380782 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Laeeq Butt |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1841684735 PECOS PAC ID: 2264719335 Enrollment ID: I20221107002251 |
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