Dr. Basaviah Chandramouli
Pediatric Cardiologist
330 Laurel St Suite 2200
Des Moines
, Iowa 50314-3034
Dr. Basaviah Chandramouli
Pediatric Cardiologist
330 Laurel St Suite 2200
Des Moines
, Iowa 50314-3034
(515) 223-1511
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About
Features
Specialties
- Pediatric Cardiologist
Languages spoken
- English
Location
First Address
- Dr. Basaviah Chandramouli
- 707 38th St
- West Des Moines, IA
- Zip : 50265-3177
- Phone : (515) 223-1511
Second Address
- Dr. Basaviah Chandramouli
- 330 Laurel St Suite 2200
- Des Moines, IA
- Zip : 50314-3034
- Fax : (515) 288-2847
- Phone : (515) 288-1097
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080P0202X | Pediatric Cardiologist | 19084 | IA |
National Provider Identifier
| NPI | 1023090735 |
|---|---|
| Provider Name | Dr. Basaviah Chandramouli |
| First Address | West Des Moines, IA 50265-3177 |
| Second Address | Des Moines, IA 50314-3034 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/11/2005 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1093849 | (05) | IA |
| A01022 | (02) | 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.