NPI 1508219841 · live from the CMS NPI Registry
Sujana Madathil, M.D.
Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology in Iowa City, IA. National Provider Identifier 1508219841, active.
NPI record
| NPI | 1508219841 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology 2084N0402X |
| Practice location | 200 Hawkins Dr, Iowa City, IA 52242 |
| Practice phone | 319-356-2856 |
| Enumerated | July 21, 2016 |
| Last updated | March 21, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics | 208000000X | MD-48499 (IA) |
| Pediatrics, Sleep Medicine | 2080S0012X | MD-48499 (IA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology | 2084N0402X | R11221 (IA) |
| Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology primary | 2084N0402X | MD-48499 (IA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.