Provider Demographics
NPI:1841279734
Name:QUESTAD, DEANNA L (MD)
Entity type:Individual
Prefix:
First Name:DEANNA
Middle Name:L
Last Name:QUESTAD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2515 SW STATE ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ANKENY
Mailing Address - State:IA
Mailing Address - Zip Code:50023-7011
Mailing Address - Country:US
Mailing Address - Phone:515-964-6929
Mailing Address - Fax:515-964-6930
Practice Address - Street 1:2515 SW STATE ST
Practice Address - Street 2:SUITE 100
Practice Address - City:ANKENY
Practice Address - State:IA
Practice Address - Zip Code:50023-7011
Practice Address - Country:US
Practice Address - Phone:515-964-6929
Practice Address - Fax:515-964-6930
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IAMD-24444207R00000X, 207RG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RG0300XAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1841279734Medicaid
IA0045716Medicaid
IA110073408OtherRR MEDICARE
IA59556Medicare PIN
IA110073408OtherRR MEDICARE