| Doctor Name: | DR. DUSTAFF R.C. PERSAUD |
| NPI Number: | 1013097856 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | ED.D MBA PA-C |
| License Number: | 007232 |
| Business Practice Address: | 269 N 1st Ave Iowa City, IA - 522453616 |
| Business Phone Number: | 3193516852 |
| Business Fax Number: | 3193512625 |
| Mailing Address: | Po Box 2027, IOWA CITY |
| State: | IA |
| Postal Code: | 522442027 |
| Phone Number: | 3193393541 |
| Fax Number: | 3193582737 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 06/28/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 007232 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |