Doctor Name: | DR. KALYANA SUNDARAM |
NPI Number: | 1013960285 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 29047 |
Business Practice Address: | 419 East Donald Street Waterloo, IA - 507031223 |
Business Phone Number: | 3192361911 |
Business Fax Number: | 3192875832 |
Mailing Address: | Po Box 2758, WATERLOO |
State: | IA |
Postal Code: | 507042758 |
Phone Number: | 3192355390 |
Fax Number: | 3192331630 |
NPI Enumeration Date: | 05/18/2006 |
NPI Last Update Date: | 02/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 29047 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |