Doctor Name: | DR. JERUSA KAMALA |
NPI Number: | 1285601641 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | 34967 |
Business Practice Address: | 1250 9th Street Des Moines, IA - 503162765 |
Business Phone Number: | 5152632600 |
Business Fax Number: | 5152632620 |
Mailing Address: | 1250 E 9th St, DES MOINES |
State: | IA |
Postal Code: | 503162316 |
Phone Number: | 5152632600 |
Fax Number: | 5152632620 |
NPI Enumeration Date: | 03/03/2006 |
NPI Last Update Date: | 02/10/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 34967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |