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NPI 1295099075 · live from the CMS NPI Registry

Adam Alexander Liudahl, M.D.

Radiology, Diagnostic Radiology in Iowa City, IA. National Provider Identifier 1295099075, active.

NPI record

NPI1295099075 Type 1 · individual
StatusActive
Primary specialtyRadiology, Diagnostic Radiology 2085R0202X
Practice location200 Hawkins Dr, Department Of Radiology, Iowa City, IA 96813
Practice phone319-356-3396
Mailing address1356 Lusitana St, 6th Floor, Honolulu, HI 96813
EnumeratedJune 27, 2012
Last updatedNovember 7, 2017
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Radiology, Diagnostic Radiology primary2085R0202XMD-44350 (IA)
Student in an Organized Health Care Education/Training Program390200000XMDR-6341 (HI)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.