MEDICARE: VISH V.IYER MD, PC

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	207Q00000X	Family Medicine Physician	MD071771L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1649497215
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VISH V.IYER MD, PC

Provider Business Mailing Address
First Line	:	30 HIGH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15223-1954
Country	:	US
Telephone Number	:	412-782-6800
Fax Number	:	412-781-2123

Provider Business Practice Location Address
First Line	:	30 HIGH ST
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15223-1954
Country	:	US
Telephone Number	:	412-782-6800
Fax Number	:	412-781-2123

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. VISH VENKATESH IYER
Credential	:	MD
Telephone Number	:	412-782-6800

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	08/22/2020

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