Provider Demographics
NPI:1376669820
Name:SARSWAT, PRADEEP Y (MD)
Entity type:Individual
Prefix:DR
First Name:PRADEEP
Middle Name:Y
Last Name:SARSWAT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 W LINCOLN WAY
Mailing Address - Street 2:
Mailing Address - City:MARSHALLTOWN
Mailing Address - State:IA
Mailing Address - Zip Code:50158-2328
Mailing Address - Country:US
Mailing Address - Phone:641-752-7301
Mailing Address - Fax:
Practice Address - Street 1:HWY 965N,
Practice Address - Street 2:
Practice Address - City:OAKDALE
Practice Address - State:IA
Practice Address - Zip Code:52319
Practice Address - Country:US
Practice Address - Phone:319-626-4414
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA21228207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine