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General NPI Number Information
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NPI Number | 1427450428
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Entity Type | Organization
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Legal Business Name | SRIRAM IYER MEDICAL, PC
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Dates
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Enumeration Date | 09/22/2014
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Last Update Date | 12/27/2014
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Provider Practice Location Address
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Address Line | 791 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-3551
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Country | US
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Telephone | 212-290-1300
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Fax | 646-219-2255
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Provider Business Mailing Address
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Address Line | 791 PARK AVE
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City | NEW YORK
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State | NY
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Zip | 10021-3551
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Country | US
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Telephone | 212-290-1300
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Fax | 646-219-2255
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Authorized Official
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Title or Position | AUTHORIZED REP/OWNER
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Name | SRIRAM S. IYER
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Credential | MD
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Telephone | 212-290-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State | NY
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