MEDICARE: KIRAN ANNAM, LLC

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner

General Provider Information

NPI Number	:	1487510418
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KIRAN ANNAM, LLC

Provider Business Mailing Address
First Line	:	2440 CASCADE LN
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52246-4196
Country	:	US
Telephone Number	:	319-512-8800
Fax Number	:

Provider Business Practice Location Address
First Line	:	2440 CASCADE LN
Second Line	:
City	:	IOWA CITY
State	:	IA
Zip	:	52246-4196
Country	:	US
Telephone Number	:	319-512-8800
Fax Number	:

Authorized Official
Title or Position	:	ARNP
Name	:	KIRAN ANNAM
Credential	:	PMHNP-BC
Telephone Number	:	319-512-8800

Provider Enumeration Date	:	01/03/2026
Last Update Date	:	02/23/2026

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