Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BETTAIAH T GOWDA, M.D.
ActiveSpecialist · DAVENPORT, IA
Registration Details
- NPI Number
- 1962491225
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 19, 2005 (20.525557294064 yrs)
- Last Updated
- Oct 29, 2007
- Licenses
-
34119 (IA)036096127 (IL)
Practice Information
- Address
-
5041 UTICA RIDGE RDSUITE 100DAVENPORT, IA, 528073480Browse IA providers · Browse ZIP 52807
- Phone
- 5633599696
- Fax
- 5633591730
- Primary Specialty
-
Specialist
174400000X
- Additional Specialty
- Specialist
Other Specialist Providers in DAVENPORT, IA
| Name | Credential | NPI |
|---|---|---|
| SREENIVAS CHINTALAPANI | M.D. | 1255320511 |
| DR. BENJAMIN VANRAALTE | M.D. | 1528048451 |
| 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.