| Lakeview Center for Urology | |
|
1000 73rd St Ste 17 West Des Moines IA 50265-1321 | |
| (515) 277-8900 | |
| (515) 223-7361 |
| Full Name | Lakeview Center for Urology |
|---|---|
| Speciality | Urology |
| Location | 1000 73rd St Ste 17, West Des Moines, Iowa |
| Authorized Official Name and Position | Fawad S. Zafar (C E O) |
| Authorized Official Contact | 5152778900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeview Center for Urology 1000 73rd St Ste 17 West Des Moines IA 50265-1321 Ph: (515) 277-8900 | Lakeview Center for Urology 1000 73rd St Ste 17 West Des Moines IA 50265-1321 Ph: (515) 277-8900 |
| NPI Number | 1649223835 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 12/23/2020 |
| Certification Date | 12/23/2020 |
| Medicare PECOS PAC ID | 6204888332 |
|---|---|
| Medicare Enrollment ID | O20050216000657 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649223835 | NPI | - | NPPES |
| 0454561 | Medicaid | IA | |
| DD5681 | Other | IA | RAILROAD MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Iowa) | Secondary |
| 208800000X | Urology | (NU) | Primary |
| Provider Name | Fawad S Zafar |
|---|---|
| Provider Type | Practitioner - Urology |
| Provider Identifiers | NPI Number: 1003818493 PECOS PAC ID: 9931151081 Enrollment ID: I20050217000420 |
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