Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | MD42311 | IA |
N | 208000000X | Pediatrician | ME114269 | FL |
Y | 2080P0207X | Pediatric Hematology-Oncologist | MD-42311 | IA |
NPI | 1134312549 |
---|---|
Provider Name | Dr. Vasundhara Posavanike Kailasnath |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/08/2007 |
Last Update Date | 06/10/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
009567500 | (05) | FL |