Healthcare Provider Details

I. General information

NPI: 1336272103
Provider Name (Legal Business Name): NARASIMHA MURTHY PALAGUMMI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2007
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NW 114TH ST STE 247
CLIVE IA
50325-7036
US

IV. Provider business mailing address

PO BOX 674721
DALLAS TX
75267-4721
US

V. Phone/Fax

Practice location:
  • Phone: 515-222-7000
  • Fax: 515-222-7037
Mailing address:
  • Phone: 515-643-2519
  • Fax: 515-222-7037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberMD-37106
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberMD-37106
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: