| Dr Sussan Mbi Ndakor, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-3620 | |
| Not Available |
| Full Name | Dr Sussan Mbi Ndakor |
|---|---|
| Gender | Female |
| Speciality | Pediatrics - Neonatal-perinatal Medicine |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376837955 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | 77958 (Arizona) | Secondary |
| 2080N0001X | Pediatrics - Neonatal-perinatal Medicine | MD-43755 (Iowa) | Primary |
| 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 |
| Entity Name | Unitypoint Health - Marshalltown |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1164957593 PECOS PAC ID: 0941587307 Enrollment ID: O20170608002304 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sussan Mbi Ndakor, MD 2108 E Thomas Rd Ste 130, Phoenix, AZ 85016-0008 Ph: (602) 933-3124 | Dr Sussan Mbi Ndakor, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-3620 |
Dr. Michelle Nicole Kompare, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8000 | |
Dr. Brian E Sims, D.O. Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Kiley Erin Lahmann, DNP ARNP CPNP-PC Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-874-3000 | |
Dr. Benjamin Harrison Davidson, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr., Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5445 | |
Dr. Lori A. Shockley, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 2710 Saint Francis Dr, Suite 510, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-1535 | |
Pradeep Kumar Velumula, MBBS Pediatrics Medicare: Accepting Medicare Assignments Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-8203 Fax: 319-272-8203 | |
Kimberly Neumann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 905 Franklin St, Waterloo, IA 50703 Phone: 319-272-4300 |