Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD-38624 | IA |
N | 111NI0900X | Internist | MD-38624 | IA |
N | 207RA0001X | Advanced Heart Failure and Transplant Cardiologist | MD-38624 | IA |
Y | 207RI0011X | Interventional Cardiology | MD-38624 | IA |
NPI | 1013107291 |
---|---|
Provider Name | Ravinder Kumar |
First Address | Des Moines, IA 50306-9170 |
Second Address | Des Moines, IA 50314-3017 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/07/2007 |
Last Update Date | 14/06/2020 |