Provider Demographics
NPI:1861461089
Name:NIWAS, RAM (MD)
Entity type:Individual
Prefix:
First Name:RAM
Middle Name:
Last Name:NIWAS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 HAWKINS DR
Mailing Address - Street 2:
Mailing Address - City:IOWA CITY
Mailing Address - State:IA
Mailing Address - Zip Code:52242-1009
Mailing Address - Country:US
Mailing Address - Phone:563-421-7740
Mailing Address - Fax:
Practice Address - Street 1:200 HAWKINS DR
Practice Address - Street 2:
Practice Address - City:IOWA CITY
Practice Address - State:IA
Practice Address - Zip Code:52242-1009
Practice Address - Country:US
Practice Address - Phone:563-421-7740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-03-17
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01061105A208000000X
IA36433208000000X, 2080N0001X
IL036-112120208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1242030OtherCONTROLLED SUBSTANCE REG#
IA249412OtherMIDLAND'S CHOICE
IL0090000854OtherBCBS GROUP NUMBER
IA07564OtherIOWA BC/BS - RIVER DRIVE
IA421060724OtherBILLING TAX ID# FOR CHC
IL421060724002Medicaid
IA94606OtherIOWA BC/BS - MOLINE #
IA0080200Medicaid
IA421060724OtherTRICARE
IA421060724OtherSELECTFIRST
IAIA0B9OtherJOHN DEERE ELECTRIC
IA113618OtherHEALTH ALLIANCE
IA421060724-B9OtherJOHN DEERE PAPER
IA94622OtherIOWA BC/BS - ROCK ISLAND
IA94622OtherIOWA BC/BS - ROCK ISLAND
IA421060724OtherTRICARE
IAIA0B9OtherJOHN DEERE ELECTRIC
IA1242030OtherCONTROLLED SUBSTANCE REG#
IA249412OtherMIDLAND'S CHOICE