Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | 260827 | NY |
Y | 2080P0208X | Pediatric Infectious Diseases | MD-42028 | IA |
NPI | 1144495987 |
---|---|
Provider Name | Veena Ramachandran |
First Address | Des Moines, IA 50309-1406 |
Second Address | Des Moines, IA 50309-1419 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2008 |
Last Update Date | 03/05/2018 |