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NPI Code Detail

MEDICARE: DR. BHAMA JAYAVEERAPANDIAN MD

MEDICARE: DR. BHAMA JAYAVEERAPANDIAN MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician630031HIA

General Provider Information

NPI Number : 1306858741
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BHAMA JAYAVEERAPANDIAN MD
Provider Business Mailing Address
First Line : 1002 S LINCOLN ST
Second Line :
City : KNOXVILLE
State : IA
Zip : 50138-3121
Country : US
Telephone Number : 641-842-2151
Fax Number : 641-842-1470
Provider Business Practice Location Address
First Line : 1202 W HOWARD ST
Second Line :
City : KNOXVILLE
State : IA
Zip : 50138-3103
Country : US
Telephone Number : 641-828-7211
Fax Number : 641-842-7030
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2006
Last Update Date : 11/14/2007

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Directions to “ DR. BHAMA JAYAVEERAPANDIAN MD” Practice Location

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