Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | 101253373 | VA |
NPI | 1033325477 |
---|---|
Provider Name | Dr. Harish V Iyer |
First Address | Suffolk, VA 23435-3315 |
Second Address | Suffolk, VA 23435-3315 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/05/2007 |
Last Update Date | 05/12/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10109307 | SENTARA/OPTIMA (01) | VA |
1033325477 | (05) | VA |
9044479 | AETNA (01) | VA |