Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0203X | Pediatric Critical Care Doctor | 35.085398 | OH |
Y | 2080P0203X | Pediatric Critical Care Doctor | 37702 | IA |
NPI | 1205040813 |
---|---|
Provider Name | Dr. Sameer Shantaram Kamath |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 24/11/2009 |