Provider Demographics
NPI:1801520705
Name:GROVER, SAHIL (MD)
Entity type:Individual
Prefix:DR
First Name:SAHIL
Middle Name:
Last Name:GROVER
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
Mailing Address - Country:US
Mailing Address - Phone:319-356-3500
Mailing Address - Fax:319-356-2999
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
Practice Address - Country:US
Practice Address - Phone:319-356-3500
Practice Address - Fax:319-356-2999
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-15
Last Update Date:2023-09-27
Deactivation Date:2023-03-13
Deactivation Code:
Reactivation Date:2023-09-27
Provider Licenses
StateLicense IDTaxonomies
IAR-12898207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty