Healthcare Provider Details

I. General information

NPI: 1912019118
Provider Name (Legal Business Name): ANIL KUMAR DHUNA MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2006
Last Update Date: 03/31/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 S GEAR AVE SUITE 153, MERCY PLAZA
WEST BURLINGTON IA
52655-1691
US

IV. Provider business mailing address

PO BOX 210
WEST BURLINGTON IA
52655-0210
US

V. Phone/Fax

Practice location:
  • Phone: 319-754-4400
  • Fax: 319-754-4412
Mailing address:
  • Phone: 319-754-4400
  • Fax: 319-754-4412

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number29899
License Number StateIA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: