Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-44117 | IA |
NPI | 1750602041 |
---|---|
Provider Name | Akrivi Manola |
First Address | Des Moines, IA 50306-9170 |
Second Address | Des Moines, IA 50314-3017 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 14/06/2020 |