POG CEDAR RAPIDS LLC NPI 1649649484

NPI Information

POG CEDAR RAPIDS LLC is a radiation oncology radiology in Cedar Rapids, IA. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. POG CEDAR RAPIDS LLC NPI is 1649649484. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

202 10TH ST SE
STE 285
CEDAR RAPIDS, IA
ZIP 52403-414
Phone: (319) 861-6944
Fax: (319) 861-6945

The provider's authorized official is Nagendra S Koneru .
The authorized official title is Owner and has the following contact phone number (563) 556-3175.

The enumeration date for this NPI number is 9/23/2015 and was last updated on 8/1/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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