Healthcare Provider Details

I. General information

NPI: 1730095159
Provider Name (Legal Business Name): SREELEKHA KUNDU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

DES MOINES UNIVERSITY - PA PROGRAM 8025 GRAND AVENUE
WEST DES MOINES IA
50266
US

IV. Provider business mailing address

3906 MERCED ST
DES MOINES IA
50310-4201
US

V. Phone/Fax

Practice location:
  • Phone: 515-271-1569
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: