Shivendra Bahadur, M.D.
Family Medicine in Coralville, IA. Individual provider (NPI-1).
NPI number1467531657
StatusActive
Last updated in NPPESMar 19, 2013
Details
- NPI
- 1467531657
- Entity type
- Individual (NPI-1)
- Name
- Shivendra Bahadur
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Nov 6, 2006
- Last updated
- Mar 19, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 37835 | IA | Yes |
| 207Q00000X | Family Medicine | 1651-850 | WI |
Practice location
2769 Heartland DrSuite 205
Coralville, IA 52241-2732
Phone 319-688-7400 · Fax 319-339-3858
Mailing address
Po Box 2027Iowa City, IA 52244-2027
Phone 319-339-3541 · Fax 319-358-2737
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