NPI 1184666539

Penumetsa B Raju, MD

Practitioner Psychiatry Physician Waterloo, IA

Practice location

Address: 2750 Saint Francis Dr, Waterloo, IA 50702-5644
Phone: (319) 272-8922
Fax: (319) 272-8929
Mailing address: 2101 Kimball Ave Ll14, Waterloo, IA 50702-5063

Registered specialties

Psychiatry Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence 18458 (IA)

Other Psychiatry & Neurology providers in Iowa →

Registry record

NPI: 1184666539
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Jun 2006
Record last updated: 16 Jul 2007

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.