Provider Demographics
NPI:1790983989
Name:COLLAPPAKKAM, PADMALATHA K (MBBS)
Entity Type:Individual
Prefix:DR
First Name:PADMALATHA
Middle Name:K
Last Name:COLLAPPAKKAM
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:319-248-0037
Mailing Address - Fax:319-248-0168
Practice Address - Street 1:2055 OAKDALE RD
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-4704
Practice Address - Country:US
Practice Address - Phone:319-248-0037
Practice Address - Fax:319-248-0168
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-39387207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine