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Cedar Valley Medical Specialists PC

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Waterloo, IA

NPI 1932154697 · NPPES record last updated Apr 16, 2025

Key facts

NPI
1932154697
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS PC
Practice address
1661 W Ridgeway Ave
Waterloo, IA 50701-4541
Phone
(319) 833-5777
Fax
(319) 833-5780
NPI assigned
May 23, 2006
Organization subpart
Yes
Parent organization (as reported)
CEDAR VALLEY MEDICAL SPECIALISTS, P.C.

Authorized official

Name
Vinay Kantamneni, MD
Title
Ceo
Phone
(319) 235-5390

Corporate family (same tax ID) 5

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Cedar Valley Med Specia (6 organizations share this tax ID)
Part of
Cedar Valley Med Specia

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes

Addresses

Primary practice location

1661 W Ridgeway Ave
Waterloo, IA 50701-4541

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 833-5777

Other identifiers

IdentifierTypeStateIssuer
62516OtherIAWELLMARK
0625160MedicaidIA

Other names

  • Cedar Valley Dialysis Center Doing business as

Other providers in Waterloo, IA

All providers in Waterloo, IA · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Iowa

Sources for this page

Verify at the official NPI Registry.