Dr. Bijoy Damodaran Thattaliyath, M.D.
Pediatrics, Pediatric Cardiology in Iowa City, IA. Individual provider (NPI-1).
NPI number1043482912
StatusActive
Last updated in NPPESAug 11, 2016
Details
- NPI
- 1043482912
- Entity type
- Individual (NPI-1)
- Name
- Dr. Bijoy Damodaran Thattaliyath
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 31, 2008
- Last updated
- Aug 11, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2080P0202X | Pediatrics, Pediatric Cardiology | 2011-01418 | NC | Yes |
| 2080P0202X | Pediatrics, Pediatric Cardiology | MD-43679 | IA |
Practice location
200 Hawkins DrDepartment Of Pediatrics
Iowa City, IA 52242-1009
Phone 352-219-6107
Mailing address
200 Hawkins DrDepartment Of Pediatrics
Iowa City, IA 52242-1009
Phone 352-219-6107
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