National Provider Identifier Database

RIVER VALLEY MEDICAL GROUP LLC
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.


Contact Information

RIVER VALLEY MEDICAL GROUP, LLC
4626 PROGRESS DR STE C
DAVENPORT, IA52807-3485
Phone: 563-551-4200
Fax: 563-441-9101
Website:
Specialty Taxonomy Code
* Internal Medicine 207R00000X
Primary Care 261QP2300X

* Indicates primary specialty

NPI Profile & details for RIVER VALLEY MEDICAL GROUP, LLC

NPI Number 1396408290
Legal business name
LBN
RIVER VALLEY MEDICAL GROUP, LLC
Authorized official RADHIKA KOLLA - (PHYSICIAN/OWNER)
Entity Organization
Organization subpart No
Enumeration date 10/18/2021
Last updated 06/23/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • IA Medicaid: 1598744096
  • Other: G81285 MEDICARE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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