Whalio Doctors

NPI 1093076671

Vara Venkata Padma Kamala Kumari Ponnada, MD

Practitioner Internal Medicine Physician Waterloo, IA

Practice location

Address
146 W Dale St Suite 201, Waterloo, IA 50703-1901
Phone
(319) 235-3838
Fax
(319) 235-5078

Registered specialties (2)

Internal Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207R00000X Licence 39962 (IA)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 39962 (IA)

Registry record

NPI
1093076671
Entity type
Individual
Sex (as registered)
Female
NPI issued
31 May 2012
Record last updated
18 Jan 2018

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.