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1013960186
KEERAN GHANDIVEL
WATERLOO, IA
NPI
1013960186
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Former Name
ILANKEERAN GHANDIVEL
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: IA MD-35099)
Enumeration Date
2006-05-18
Last Update Date
2015-10-07
Business Address
Dr. KEERAN GHANDIVEL MD
1825 LOGAN AVE
WATERLOO, IA 50703-1916
Phone number: 319-235-3886
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Mailing Address
Dr. KEERAN GHANDIVEL MD
PO BOX 2758
WATERLOO, IA 50704-2758
Phone number: 319-235-5390
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