Boothapuri Venkatesh
Internist - Cardiovascular Disease
202 10th St Se Suite 225
Cedar Rapids
, Iowa 52403-2404
Boothapuri Venkatesh
Internist - Cardiovascular Disease
202 10th St Se Suite 225
Cedar Rapids
, Iowa 52403-2404
(319) 363-1993
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Boothapuri Venkatesh
- 202 10th St Se Suite 225
- Cedar Rapids, IA
- Zip : 52403-2404
- Fax : (319) 363-1993
- Phone : (319) 364-7101
Second Address
- Boothapuri Venkatesh
- 202 10th St Se Suite 225
- Cedar Rapids, IA
- Zip : 52403-2404
- Fax : (319) 363-1993
- Phone : (319) 364-7101
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 34555 | IA |
National Provider Identifier
| NPI | 1023093259 |
|---|---|
| Provider Name | Boothapuri Venkatesh |
| First Address | Cedar Rapids, IA 52403-2404 |
| Second Address | Cedar Rapids, IA 52403-2404 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 09/12/2005 |
| Last Update Date | 24/05/2013 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1023093259 | (05) | IA |
| P00817974 | RR MEDICARE (01) | IA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.