DR. PATTAYA KULLAVAN (NPI# 1508855222) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508855222 |
| Entity Type | Individual |
| Full Name | DR. PATTAYA KULLAVAN |
| Other Name | DR. PATTAYA KULLAVANIJAYA |
| Credential | M.D. |
| Practice Address |
1601 1st Ave Se Cedar Rapids IA 52402-5454 |
| Practice Telephone | 3193645191 |
| Practice Fax Number | 3193641511 |
| Mailing Telephone | 3193645191 |
| Mailing Fax Number | 3193641511 |
| Enumeration Date | 2005-10-15 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
20556 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0015446 | 05 |
| Street Address |
1601 1ST AVE SE |
| City | CEDAR RAPIDS |
| State | IA |
| Zip Code | 52402-5454 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639790520 | Sara Ann Rausch | Counselor | 1533 1 Ave Se, Cedar Rapids, IA 52402 | 2020-05-01 |
| 1558995589 | Jennifer Christine Hohneke | Nurse Practitioner | St. Luke's Transitional Care Center, 1420 Unitypoint Way, Cedar Rapids, IA 52402 | 2020-02-28 |
| 1073008314 | Benjamin Randall Groth | Optometrist | 576 Boyson Rd Ne Ste 104, Cedar Rapids, IA 52402 | 2018-06-28 |
| 1992228621 | Synona Culbertson | Counselor | 4403 1st Ave Ne, Suite L15, Cedar Rapids, IA 52402 | 2017-07-25 |
| 1083136410 | Compassion North America Home Health Services Corp | Hospice Care, Community Based | 1570 42nd Street Ne, Suite #2a, Cedar Rapids, IA 52402 | 2017-07-07 |
| 1861819732 | Arj Infusion Services, Inc. | Home Infusion | 1847 First Ave Se, Suite 100, Cedar Rapids, IA 52402 | 2014-03-27 |
| 1639475197 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 4444 1st Ave Ne Ste 575, Cedar Rapids, IA 52402 | 2011-02-01 |
| 1437452919 | Empowering Families Inc | Early Intervention Provider Agency | 5005 Blairsforest Way, Cedar Rapids, IA 52402 | 2010-12-06 |
| 1184937476 | Jennifer Becker | Counselor | 3745 Center Point Rd Ne Ste A, Cedar Rapids, IA 52402 | 2010-07-15 |
| 1215179817 | William H Fletcher | Hearing Instrument Specialist | 3741 Center Point Rd Ne, Cedar Rapids, IA 52402 | 2009-03-27 |
| Find all providers in zip 52402 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568545440 | Allergy Associates PC | Allergy & Immunology | 1601 First Ave Se, Cedar Rapids, IA 52402-5454 | 2006-10-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497794242 | Cedar Valley Medical Specialists PC | Allergy & Immunology | 4150 Kimball Ave, Waterloo, IA 50704-2758 | 2006-06-06 |
| 1437140712 | John Karl Kammermeyer | Allergy & Immunology | 404 E Bloomington St, Iowa City, IA 52245-2800 | 2005-11-04 |
| 1164683835 | Tara J Federly | Allergy & Immunology | 6800 Lake Dr Ste 260, West Des Moines, IA 50266-2504 | 2008-06-24 |
| 1780740274 | Veljko Krsta Zivkovich | Allergy & Immunology | 1212 Pleasant St, Suite 110, Des Moines, IA 50309-1490 | 2006-12-29 |
| 1609932201 | Pediatric & Adult Allergy PC | Allergy & Immunology | 1212 Pleasant St, Suite 110, Des Moines, IA 50309-1410 | 2006-12-28 |
| 1255497863 | Robert Austin Colman | Allergy & Immunology | 1212 Pleasant St, Suite 110, Des Moines, IA 50309-1410 | 2006-12-28 |
| 1578576864 | Stanley R. Horner | Allergy & Immunology | 1229 C Ave E, Oskaloosa, IA 52577-4246 | 2006-08-15 |
| 1134170962 | Hyder Ali Khan | Allergy & Immunology | 1500 Associates Dr, Dubuque, IA 52002-2201 | 2006-05-15 |
| 1528019767 | Danilo Dalan | Allergy & Immunology | 2710 Saint Francis Dr Ste 411, Waterloo, IA 50702-5634 | 2006-05-12 |
| 1770541930 | Preeti Bhatia | Allergy & Immunology | 915 13th Ave N, Clinton, IA 52732-5067 | 2006-05-03 |
| Find all providers with the same taxonomy | ||||
| City | CEDAR RAPIDS |
| Zip Code | 52402 |
Please comment or provide details below to improve the information on DR. PATTAYA KULLAVAN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.