Kovoor, Jerry M

Kovoor, Jerry M is an individual health care provider with primary practice located at 200 Hawkins Dr , Iowa City IA 52242-1007. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Kovoor, Jerry M can be contacted via phone (319) 353-7123.

Contact Information

Primary practice address
200 Hawkins Dr Iowa City IA 52242-1007
Phone: (319) 353-7123
Fax: (319) 356-2220
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X SP196 Iowa
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 01077141A Indiana
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 01077141A Indiana

Profile Details

NPI number 1093048019
LBN Legal business name Kovoor, Jerry M
Credentials MBBS, MD
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 9th, 2009
Last updated Mar 19th, 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 1093048019 NPPES
Indiana MEDICAID 201383550
Indiana Other 959090042

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