Organization
CANCER CARE ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDDY S REGANTI M.D. (PRESIDENT/OWNER)
(319) 753-1220
Entity
Organization
Contact information
Practice address
1225 S GEAR AVE, SUITE 152, WEST BURLINGTON, IA 52655-1691
(319) 753-1220
(319) 753-5464
Mailing address
1315 W AGENCY RD, WEST BURLINGTON, IA 52655-1654
(319) 768-3900
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
22977
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4213017
—
IA
Enumeration date
08/21/2006
Last updated
08/22/2020
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