Basic Information
Provider Information
NPI: 1376821116
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WALIA
FirstName: ANUREET
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 200 HAWKINS DR
Address2:  
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562320
FaxNumber:  
Practice Location
Address1: 200 HAWKINS DR
Address2: DEPT OF ANESTHESIA, PAIN MEDICINE
City: IOWA CITY
State: IA
PostalCode: 522421009
CountryCode: US
TelephoneNumber: 3193562320
FaxNumber:  
Other Information
ProviderEnumerationDate: 07/27/2011
LastUpdateDate: 03/14/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
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AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
2084P0804XMD43411IAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
2084P0800XMD43411IAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
2084P2900XMD43411IAN Allopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
207LP2900XMD-43411IAY Allopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine

No ID Information.


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