Basic Information
Provider Information
NPI: 1144495987
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMACHANDRAN
FirstName: VEENA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
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Mailing Information
Address1: 1200 PLEASANT STREET
Address2: SOUTH 2 ROOM 236
City: DES MOINES
State: IA
PostalCode: 503091406
CountryCode: US
TelephoneNumber: 5152416228
FaxNumber: 5152418685
Practice Location
Address1: 1215 PLEASANT ST STE 304
Address2:  
City: DES MOINES
State: IA
PostalCode: 503091419
CountryCode: US
TelephoneNumber: 5152418300
FaxNumber: 5152416466
Other Information
ProviderEnumerationDate: 04/23/2008
LastUpdateDate: 05/03/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2080P0208X260827NYN Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
2080P0208XMD-42028IAY Allopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases

No ID Information.


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