Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. BENJAMIN VANRAALTE, M.D.
Active Sole ProprietorSpecialist · DAVENPORT, IA
Registration Details
- NPI Number
- 1528048451
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 18, 2006 (20.27640467304 yrs)
- Last Updated
- Jan 29, 2020
- License
-
29526 (IA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4334 E 53RD STDAVENPORT, IA, 528073039Browse IA providers · Browse ZIP 52807
- Phone
- 5633228877
- Fax
- 5633228375
- Primary Specialty
-
Specialist
174400000X
Other Specialist Providers in DAVENPORT, IA
| Name | Credential | NPI |
|---|---|---|
| SREENIVAS CHINTALAPANI | M.D. | 1255320511 |
| BETTAIAH T GOWDA | M.D. | 1962491225 |
| MS. MELINDA S O SHEA | ARNP | 1831205640 |
| SHASHINATH KATHARAGHATTA CHANDRAHASEGOWDA | MD | 1235333956 |
| MRS. KIMBERLY ANN STUMPF | L.M.T | 1336424399 |
| TAMMY WHITACRE | — | 1275951329 |
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.