| NPI | 1396408290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RADHIKA N KOLLA Physician/Owner 563-271-3023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2021-10-18 |
| Last Update Date | 2023-06-23 |