| Maharishi International University | |
|
1100 N 4th St Ste 143 Fairfield IA 52556-2169 | |
| (641) 472-1270 | |
| (641) 472-1285 |
| Full Name | Maharishi International University |
|---|---|
| Speciality | Clinic/Center |
| Location | 1100 N 4th St Ste 143, Fairfield, Iowa |
| Authorized Official Name and Position | Jawahar Sundaram (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6414721270 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maharishi International University 1100 N 4th St Ste 143 Fairfield IA 52556-2169 Ph: (641) 472-1270 | Maharishi International University 1100 N 4th St Ste 143 Fairfield IA 52556-2169 Ph: (641) 472-1270 |
| NPI Number | 1366135162 |
|---|---|
| Provider Enumeration Date | 05/30/2023 |
| Last Update Date | 12/12/2024 |
| Medicare PECOS PAC ID | 6800323262 |
|---|---|
| Medicare Enrollment ID | O20241224000200 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366135162 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Jawahar Sundaram |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1720082100 PECOS PAC ID: 3274593843 Enrollment ID: I20241226000056 |
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