Sundaram, Kalyana
Sundaram, Kalyana is an individual health care provider with primary practice located at 419 East Donald Street , Waterloo IA 50703-1223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Sundaram, Kalyana can be contacted via phone (319) 236-1911.Contact Information
Primary practice address
419 East Donald Street
Waterloo IA 50703-1223
Phone: (319) 236-1911
Fax: (319) 287-5832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 29047 | Iowa |
Profile Details
| NPI number | 1013960285 |
|---|---|
| LBN Legal business name | Sundaram, Kalyana |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 18th, 2006 |
| Last updated | Mar 15th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013960285 | NPPES |
| Iowa | MEDICAID | 4107003 | |
| Iowa | Other | 421417307A5 | |
| Iowa | Other | 58342 |
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