| Sonam Dodhia, MD | |
|
2710 Saint Francis Dr Ste 411, Waterloo, IA 50702-5634 | |
| (319) 272-5000 | |
| (319) 272-5825 |
| Full Name | Sonam Dodhia |
|---|---|
| Gender | Female |
| Speciality | Otolaryngology |
| Location | 2710 Saint Francis Dr Ste 411, 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 |
|---|---|---|---|
| 1285130302 | NPI | - | NPPES |
| 0515109 | Medicaid | IA | |
| 1515109 | Medicaid | IA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207YX0007X | Otolaryngology - Plastic Surgery Within The Head & Neck | MD-53131 (Iowa) | Secondary |
| 207Y00000X | Otolaryngology | MD-53131 (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 |
|---|---|
| Sonam Dodhia, MD 1472 Greenlake Dr, Aurora, IL 60502-1352 Ph: () - | Sonam Dodhia, MD 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702-5634 Ph: (319) 272-5000 |
Mary Susan Pruzinsky, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2710 Saint Francis Dr, Ste 411, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5825 | |
Kenny David Rodriguez, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2515 Cyclone Dr Ste B, Waterloo, IA 50701 Phone: 319-888-8044 | |
Ann F Bell, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2710 St Francis Dr Ste 411, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5825 | |
Dr. Dov Rotenberg, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 411, Waterloo, IA 50702 Phone: 319-272-5000 Fax: 319-272-5825 | |
David James Congdon, MD Otolaryngology Medicare: Accepting Medicare Assignments Practice Location: 2515 Cyclone Dr Ste B, Waterloo, IA 50701 Phone: 319-888-8044 | |
Dr. William Richards Burgman, M.D. Otolaryngology Medicare: Not Enrolled in Medicare Practice Location: 2710 Saint Francis Dr, Suite 411, Waterloo, IA 50702 Phone: 319-272-5805 |