Basic Information
Provider Information
NPI: 1942427430
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SAXENA
FirstName: ABHA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 115 8TH ST NE
Address2:  
City: CEDAR RAPIDS
State: IA
PostalCode: 52401
CountryCode: US
TelephoneNumber: 3193633565
FaxNumber: 3193634001
Practice Location
Address1: 115 8TH ST NE
Address2:  
City: CEDAR RAPIDS
State: IA
PostalCode: 52401
CountryCode: US
TelephoneNumber: 3193633565
FaxNumber: 3193634001
Other Information
ProviderEnumerationDate: 04/19/2007
LastUpdateDate: 09/11/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RN0300XLP01008RIN Allopathic & Osteopathic PhysiciansInternal MedicineNephrology
207R00000X37805IAN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RN0300X37805IAY Allopathic & Osteopathic PhysiciansInternal MedicineNephrology

No ID Information.


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