| NPI | 1427996404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDRA MALLAVARAPU President 319-234-5990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2026-03-23 |
| Last Update Date | 2026-03-23 |