Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY M KOVOOR, MBBS, MD
ActiveTherapeutic Radiology · IOWA CITY, IA
Registration Details
- NPI Number
- 1093048019
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 9, 2009 (16.61360898699 yrs)
- Last Updated
- Mar 19, 2024
- Licenses
-
SP196 (IA)01077141A (IN)01077141A (IN)
Practice Information
- Address
-
200 HAWKINS DRIOWA CITY, IA, 522421007Browse IA providers · Browse ZIP 52242
- Phone
- 3193537123
- Fax
- 3193562220
- Primary Specialty
-
Therapeutic Radiology
2085R0204X
- Additional Specialty
- Diagnostic Radiology
- Additional Specialty
- Therapeutic Radiology
Other Therapeutic Radiology Providers in IOWA CITY, IA
| Name | Credential | NPI |
|---|---|---|
| SHILIANG SUN | MD | 1730177684 |
| HIDEFUMI MIMURA | MD | 1528056470 |
| VENKATA RAJAMANNAR KOTHIMBAKAM | MD | 1265421036 |
| DOUGLAS A POWELL | MD | 1356310387 |
| EDGAR A. SAMANIEGO PONTON | M.D. | 1093771511 |
| SANDEEP TIRATH LAROIA | M.D. | 1154403632 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.