Donta, Theodore S

Donta, Theodore S is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1009. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Donta, Theodore S can be contacted via phone (319) 467-2868.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1009
Phone: (319) 467-2868
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Neuroimaging 2085D0003X MD-36713 Iowa
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X MD-36713 Iowa

Profile Details

NPI number 1609801711
LBN Legal business name Donta, Theodore S
Credentials MD PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated May 23rd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609801711 NPPES
Iowa MEDICAID 1750387999

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