Provider Demographics
NPI:1881676823
Name:NATH, AMAR (MD)
Entity Type:Individual
Prefix:MR
First Name:AMAR
Middle Name:
Last Name:NATH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 PENN AVE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DES MOINES
Mailing Address - State:IA
Mailing Address - Zip Code:50316-2350
Mailing Address - Country:US
Mailing Address - Phone:515-263-2400
Mailing Address - Fax:515-263-2540
Practice Address - Street 1:1301 PENN AVENUE
Practice Address - Street 2:SUITE 100
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50316-2364
Practice Address - Country:US
Practice Address - Phone:515-263-2400
Practice Address - Fax:515-263-2540
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2015-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAMD-24059207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1881676823Medicaid
IA060020777OtherRAILROAD MEDICARE
IA0066811Medicaid
IACS9044OtherRAILROAD MEDICARE GROUP #
IAI8659001Medicare PIN
IACS9044OtherRAILROAD MEDICARE GROUP #
IA060020777OtherRAILROAD MEDICARE
IAB59690Medicare UPIN