NPI 1083852248

Vijayasimha Reddy Pothula, MD

Practitioner Anesthesiology Physician Waterloo, IA

Practice location

Address: 1825 Logan Ave, Waterloo, IA 50703-1916
Phone: (319) 235-5386
Fax: (319) 235-3074
Mailing address: 4150 Kimball Ave PO Box 2758, Waterloo, IA 50701-9086

Registered specialties

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 40239 (IA)

Other Anesthesiology providers in Iowa →

Registry record

NPI: 1083852248
Entity type: Individual
Sex (as registered): Male
NPI issued: 27 Jan 2009
Record last updated: 26 Jun 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.