Dr. Kalyana Sundaram
Internist - Cardiovascular Disease
419 East Donald Street
Waterloo
, Iowa 50703-1223
Dr. Kalyana Sundaram
Internist - Cardiovascular Disease
419 East Donald Street
Waterloo
, Iowa 50703-1223
(319) 233-1630
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About
Features
Specialties
- Internist - Cardiovascular Disease
Languages spoken
- English
Location
First Address
- Dr. Kalyana Sundaram
- Po Box 2758
- Waterloo, IA
- Zip : 50704-2758
- Fax : (319) 233-1630
- Phone : (319) 235-5390
Second Address
- Dr. Kalyana Sundaram
- 419 East Donald Street
- Waterloo, IA
- Zip : 50703-1223
- Fax : (319) 287-5832
- Phone : (319) 236-1911
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207RC0000X | Internist - Cardiovascular Disease | 29047 | IA |
National Provider Identifier
| NPI | 1013960285 |
|---|---|
| Provider Name | Dr. Kalyana Sundaram |
| First Address | Waterloo, IA 50704-2758 |
| Second Address | Waterloo, IA 50703-1223 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 18/05/2006 |
| Last Update Date | 16/02/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 4107003 | (05) | IA |
| 421417307A5 | JOHN DEERE HEALTH INS PLA (01) | IA |
| 58342 | WELLMARK INS PLAN (01) | IA |
| F75468 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.