| Mrs Gowthami Koorapati, MD | |
| 3421 W 9th St, Waterloo, IA 50702-5401 | |
| (319) 272-8349 | |
| (319) 272-8355 | 
| Full Name | Mrs Gowthami Koorapati | 
|---|---|
| Gender | Female | 
| Speciality | Internal Medicine | 
| Location | 3421 W 9th St, 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 | 
|---|---|---|---|
| 1497378640 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 207R00000X | Internal Medicine | MD-50633 (Iowa) | Secondary | 
| 207R00000X | Internal Medicine | 61328084955K (Illinois) | Primary | 
| Entity Name | Covenant Medical Center Inc | 
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice | 
| Entity Identifiers | NPI Number: 1548288160 PECOS PAC ID: 0244148732 Enrollment ID: O20031111000534 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Mrs Gowthami Koorapati, MD 808 Ross Ln, Mchenry, IL 60050 Ph: (845) 480-6275 | Mrs Gowthami Koorapati, MD 3421 W 9th St, Waterloo, IA 50702-5401 Ph: (319) 272-8349 | 
| Paul Franke, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 3421 W 9th St, Waterloo, IA 50702 Phone: 319-272-5655 Fax: 319-272-7313 | |
| Dr. Kalyana Sundaram, MD Internal Medicine Medicare: Medicare Enrolled Practice Location: 419 East Donald Street, Waterloo, IA 50703 Phone: 319-236-1911 Fax: 319-287-5832 | |
| Russell Adams, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 146 W Dale St, Suite 201, Waterloo, IA 50703 Phone: 319-234-4431 Fax: 319-235-5004 | |
| Joud Ghassoub Dib, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 419 East Donald Street, Waterloo, IA 50703 Phone: 319-236-1911 Fax: 319-287-5832 | |
| Dr. Pradeep Manjanbail Ramesh, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3838 Fax: 319-235-5272 | |
| Suresh Katapalli Reddy, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 E Tower Park Dr, Waterloo, IA 50701 Phone: 319-234-5990 Fax: 319-234-5994 | |
| Thomas R Spragg, MD Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 1717 W Ridgeway Ave, Waterloo, IA 50701 Phone: 319-833-5700 Fax: 319-833-5740 |