| Dr Keeran Ghandivel, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3886 | |
| (319) 233-1630 |
| Full Name | Dr Keeran Ghandivel |
|---|---|
| Gender | Male |
| Speciality | Anesthesiology |
| Experience | 34 Years |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013960186 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207L00000X | Anesthesiology | MD-35099 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allen Hospital | Waterloo, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Iowa Physicians Clinic Medical Foundation | 8729992318 | 1047 |
| Entity Name | Iowa Physicians Clinic Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366425274 PECOS PAC ID: 8729992318 Enrollment ID: O20031118000363 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Keeran Ghandivel, MD Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Dr Keeran Ghandivel, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3886 |
Frank Edward Hawkins, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 3254 Kimball Ave, Waterloo, IA 50702 Phone: 319-235-7246 Fax: 319-235-3017 | |
Luis Avila, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Vijayasimha Reddy Pothula, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-5386 Fax: 319-235-3074 | |
Dr. Nathan S Hahn, MD Anesthesiology Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Robert N Federhofer, Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 410, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5264 | |
Tahseen Husain, MD Anesthesiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3886 Fax: 319-233-1630 |