| Prudhvi Regula, | |
|
21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 | |
| (319) 272-5000 | |
| Not Available |
| Full Name | Prudhvi Regula |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology |
| Location | 21 W Jefferson St Ste 103, 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 |
|---|---|---|---|
| 1386139244 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207K00000X | Allergy & Immunology | MD-50891 (Iowa) | 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 |
|---|---|
| Prudhvi Regula, 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 Ph: (319) 272-5000 | Prudhvi Regula, 21 W Jefferson St Ste 103, Waterloo, IA 50701-1341 Ph: (319) 272-5000 |
Felipe Coscolluela Javier Iii, MD Allergy & Immunology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5825 | |
David Carter Redfern, MD Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 1753 W Ridgeway Ave, Ste 106, Waterloo, IA 50701 Phone: 319-833-5982 Fax: 319-833-5983 |