Organization
CEDAR VALLEY MEDICAL SPECIALISTS PC
Active
Parent organization
CEDAR VALLEY MEDICAL SPECIALISTS, P.C.
Other names
Cedar Valley Dialysis Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS, P.C.
Authorized official
VINAY KANTAMNENI MD (CEO)
(319) 235-5390
Entity
Organization
Contact information
Practice address
1661 W RIDGEWAY AVE, WATERLOO, IA 50701-4541
(319) 833-5777
(319) 833-5780
Mailing address
PO BOX 2758, WATERLOO, IA 50704-2758
(319) 833-5777
(319) 833-5780
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0625160
—
IA
01
—
62516
WELLMARK
IA
Enumeration date
05/23/2006
Last updated
04/16/2025
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