Provider Demographics
NPI:1396998886
Name:UNIVERSITY OF IOWA HOSPITALS AND CLINICS
Entity type:Organization
Organization Name:UNIVERSITY OF IOWA HOSPITALS AND CLINICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FELLOW PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:SHIREESH
Authorized Official - Middle Name:
Authorized Official - Last Name:SAURABH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-264-2259
Mailing Address - Street 1:275 HOLIDAY RD
Mailing Address - Street 2:UNIT # 6
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-1111
Mailing Address - Country:US
Mailing Address - Phone:215-264-2259
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:DEPARTMENT OF SURGERY, 1529 JCP
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:319-467-5302
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-28
Last Update Date:2013-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMT192663282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital