Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jivan Koneru

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1780489815

Jivan Koneru is a Student in an Organized Health Care Education/Training Program in Iowa Falls, Iowa. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

920 S Oak St
Iowa Falls, IA 50126-9507
Phone: (641) 648-7000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1780489815
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 13, 2025
Last updated in NPPESFebruary 13, 2025
Certification dateFebruary 13, 2025
Mailing address875 Se Applewood Ln, Waukee, IA 50263-8406

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