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General NPI Number Information
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NPI Number | 1487510418
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Entity Type | Organization
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Legal Business Name | KIRAN ANNAM, LLC
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Dates
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Enumeration Date | 01/03/2026
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Last Update Date | 01/03/2026
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Provider Practice Location Address
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Address Line | 2440 CASCADE LN
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City | IOWA CITY
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State | IA
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Zip | 52246-4196
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Country | US
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Telephone | 319-512-8800
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 CASCADE LN
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City | IOWA CITY
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State | IA
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Zip | 52246-4196
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Country | US
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Telephone | 319-512-8800
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Fax |
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Authorized Official
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Title or Position | ARNP
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Name | KIRAN ANNAM
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Credential | PMHNP-BC
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Telephone | 319-512-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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