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1023090735
BASAVIAH CHANDRAMOULI
DES MOINES, IA
NPI
1023090735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080P0202X Pediatrics, Pediatric Cardiology
(Licence: IA 19084)
Enumeration Date
2005-11-17
Last Update Date
2007-07-08
Business Address
Dr. BASAVIAH CHANDRAMOULI M.D.
330 LAUREL ST SUITE 2200
DES MOINES, IA 50314-3034
Phone number: 515-288-1097
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Mailing Address
Dr. BASAVIAH CHANDRAMOULI M.D.
707 38TH ST
WEST DES MOINES, IA 50265-3177
Phone number: 515-223-1511
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