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NPI Code Detail

MEDICARE: CEDAR VALLEY MEDICAL SPECIALISTS PC

MEDICARE: CEDAR VALLEY MEDICAL SPECIALISTS PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1332B00000XDurable Medical Equipment & Medical Supplies

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992759328
Entity Type Code : Organization
Provider Name (Legal Business Name) : CEDAR VALLEY MEDICAL SPECIALISTS PC
Provider Business Mailing Address
First Line : PO BOX 2758
Second Line :
City : WATERLOO
State : IA
Zip : 50704-2758
Country : US
Telephone Number : 800-334-6071
Fax Number : 319-334-6149
Provider Business Practice Location Address
First Line : 1600 1ST ST EAST
Second Line :
City : INDEPENDENCE
State : IA
Zip : 50644-3155
Country : US
Telephone Number : 800-334-6071
Fax Number : 319-334-6149
Authorized Official
Title or Position : CEO
Name : VINAY KANTAMNENI
Credential : MD
Telephone Number : 319-235-5390
Provider Enumeration Date : 05/20/2006
Last Update Date : 04/16/2025

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Directions to “CEDAR VALLEY MEDICAL SPECIALISTS PC ” Practice Location

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