Provider Demographics
NPI:1508483280
Name:KALANGI, SREEVASTAV TEJA (MD)
Entity type:Individual
Prefix:
First Name:SREEVASTAV
Middle Name:TEJA
Last Name:KALANGI
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3421 W 9TH ST
Mailing Address - Street 2:MEDICAL AFFAIRS - PROVIDER ENROLLMENTS
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50702-5401
Mailing Address - Country:US
Mailing Address - Phone:319-272-7304
Mailing Address - Fax:319-272-7318
Practice Address - Street 1:2710 SAINT FRANCIS DR STE 300
Practice Address - Street 2:
Practice Address - City:WATERLOO
Practice Address - State:IA
Practice Address - Zip Code:50702-5620
Practice Address - Country:US
Practice Address - Phone:319-272-5000
Practice Address - Fax:319-272-5470
Is Sole Proprietor?:No
Enumeration Date:2020-06-29
Last Update Date:2025-08-13
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Provider Licenses
StateLicense IDTaxonomies
IAMD-53889207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine