MEDICARE: IOWA SURGERY CENTER, P.C.

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	208600000X	Surgery Physician		IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1720256035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IOWA SURGERY CENTER, P.C.

Provider Business Mailing Address
First Line	:	1000 73RD ST STE 17
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-1321
Country	:	US
Telephone Number	:	515-223-2383
Fax Number	:	515-225-8679

Provider Business Practice Location Address
First Line	:	1000 73RD ST STE 17
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50265-1321
Country	:	US
Telephone Number	:	515-223-2383
Fax Number	:	515-225-8679

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MR. DEEPAK MANSUKHANI
Credential	:	MS,MBA
Telephone Number	:	847-924-5530

Provider Enumeration Date	:	02/20/2008
Last Update Date	:	06/03/2024

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Directions to “IOWA SURGERY CENTER, P.C. ” Practice Location

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