Rupa Bontu is a Internal Medicine in Davenport, Iowa. Rupa Bontu practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Rupa Bontu is 1407835994. The last update date is 2007-07-08.
Rupa Bontu's current location address is 4626 Progress Dr, Davenport, Iowa. You can contact this provider via phone number 5634419100 and fax number 5634419101. The mailing address for Rupa Bontu is 4626 Progress Dr, Davenport, Iowa. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Rupa Bontu |
|---|---|
| Address | 4626 Progress Dr, Davenport, Iowa |
| Phone Number | 5634419100 |
| Fax Number | 5634419101 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1407835994 |
|---|---|
| Provider Enumeration Date | 2006-01-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4626 Progress Dr |
|---|---|
| City | Davenport |
| State | Iowa (IA) |
| Post Code | 528073483 |
| Phone Number | 5634419100 |
| Fax Number | 5634419101 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 24346 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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What is the unique provider identifier assigned to Rupa Bontu?
The Rupa Bontu has been issued the NPI (National Provider Identifier) 1407835994 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Rupa Bontu?
The Rupa Bontu is situated at 4626 Progress Dr, in the city of Davenport, state of IA, with the zip code 528073483.
What is Rupa Bontu's area of expertise and its corresponding taxonomy classification?
The Rupa Bontu's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
When was the Rupa Bontu's 1407835994 issued?
The Rupa Bontu's 1407835994 was issued on 2006-01-12.
As of what date were the details related to Rupa Bontu most recently updated or revised?
The information pertaining to Rupa Bontu, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.