Individual
DR. SUNITA KANTAMNENI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2750 SAINT FRANCIS DR, WATERLOO, IA 50702-5644
(319) 272-8922
(319) 272-8929
Mailing address
2101 KIMBALL AVE, LL14, WATERLOO, IA 50702-5063
(319) 272-1590
(319) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
32281
IA
2084P0804X
Child & Adolescent Psychiatry Physician
32281
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0220970
—
IA
Enumeration date
06/28/2006
Last updated
07/16/2007
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