MEDICARE: PUNEETH IYENGAR M.D., PH.D

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	2085R0001X	Radiation Oncology Physician	N6383	TX

General Provider Information

NPI Number	:	1205168887
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PUNEETH IYENGAR M.D., PH.D

Provider Business Mailing Address
First Line	:	5801 FOREST PARK ROAD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9183
Country	:	US
Telephone Number	:	646-408-3485
Fax Number	:

Provider Business Practice Location Address
First Line	:	5801 FOREST PARK ROAD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-9183
Country	:	US
Telephone Number	:	646-408-3485
Fax Number	:

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

Provider Enumeration Date	:	02/05/2010
Last Update Date	:	07/21/2010

Similar Medicare Providers

1497720353 — THE UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER AT DALLAS
Practice Location Address:

5801 FOREST PARK RD
DALLAS, TX
75390-9183

Practice Phone: 214-645-0624
Practice Fax: 214-645-0078

1366758237 — DR. NEIL BIPINCHANDRA DESAI M.D.
Practice Location Address:

5801 FOREST PARK RD , UTSW RADIATION ONCOLOGY
DALLAS, TX
75390-9183

Practice Phone: 214-645-8525
Practice Fax: 214-645-8526

1003102617 — DR. NHAT-LONG LAM PHAM M.D., PH.D.
Practice Location Address:

5801 FOREST PARK RD
DALLAS, TX
75390-9183

Practice Phone: 241-645-7615
Practice Fax: 214-645-7624

1083025407 — TERRI ANN KELLEY-GRIFFIS FNP-C
Practice Location Address:

5801 FOREST PARK RD
DALLAS, TX
75390-9183

Practice Phone: 214-645-8525
Practice Fax: 214-645-8526

1992767933 — ANN ELIZABETH SPANGLER M.D.
Practice Location Address:

5323 HARRY HINES BLVD
DALLAS, TX
75390-7208

Practice Phone: 214-645-8525
Practice Fax:

1942277058 — HUGH G. MERRIMAN III M.D.
Practice Location Address:

1161 COOK RD
ORANGEBURG, SC
29118-8204

Practice Phone: 803-395-4497
Practice Fax: 803-536-0998

Directions to “ PUNEETH IYENGAR M.D., PH.D” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.