MEDICARE: MRS. KUMARI SUBRAHMANYAM IYER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	A82074	TX

General Provider Information

NPI Number	:	1790982759
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KUMARI SUBRAHMANYAM IYER MD

Provider Business Mailing Address
First Line	:	6912 FM 1488 RD
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77354-1527
Country	:	US
Telephone Number	:	281-356-1945
Fax Number	:	281-356-1978

Provider Business Practice Location Address
First Line	:	6912 FM 1488 RD
Second Line	:
City	:	MAGNOLIA
State	:	TX
Zip	:	77354-1527
Country	:	US
Telephone Number	:	281-356-1945
Fax Number	:	281-356-1978

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2007
Last Update Date	:	07/28/2025

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