Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0200X | Critical Care Medicine | N5739 | TX |
Y | 207RP1001X | Pulmonary Disease | N5739 | TX |
N | 207RS0012X | Sleep Medicine | N5739 | TX |
NPI | 1043299712 |
---|---|
Provider Name | Dr. Sridhar Krishnamurthy Iyer |
First Address | Denton, TX 76206-0658 |
Second Address | Denton, TX 76201-2301 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/01/2006 |
Last Update Date | 29/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
213952901 | (05) | TX |