S IYER PA NPI 1700117355

NPI Information

NPI: 1700117355
Provider Name: S IYER PA
Classification: Internal Medicine - 207RP1001X
Entity Type: Organization

Specialization: Pulmonary Disease

CLIA Number: 45D2155305

Address:
802 NORTH BONNIE BRAE STREET
SUITE 104
DENTON, TX
ZIP 76201
Phone: (940) 565-0373
Get Directions

S IYER PA is a pulmonary disease internal medicine in Denton, TX. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. S IYER PA NPI is 1700117355. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

802 NORTH BONNIE BRAE STREET
SUITE 104
DENTON, TX
ZIP 76201-301
Phone: (940) 565-0373
Fax: (940) 565-0413

The provider's authorized official is Sridhar K Iyer .
The authorized official title is Md/owner and has the following contact phone number (940) 565-0373.

The CLIA number assigned to this NPI record is 45D2155305 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/21/2010 and was last updated on 3/28/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	207R00000X	Internal Medicine		No
2	207RC0200X	Internal Medicine	Critical Care Medicine	No
3	207RS0012X	Internal Medicine	Sleep Medicine	No
4	207RP1001X	Internal Medicine	Pulmonary Disease	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	TXB101386	MEDICARE PIN	TEXAS
2	213642601	MEDICAID	TEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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