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NPI Code Detail

MEDICARE: SRIRAM K IYER MD

MEDICARE:   SRIRAM K 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
1207L00000XAnesthesiology Physician31488KY
2207LP2900XPain Medicine (Anesthesiology) Physician31488KY

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2050053314OTHERRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1689722100
Entity Type Code : Individual
Provider Name (Legal Business Name) : SRIRAM K IYER MD
Provider Business Mailing Address
First Line : PO BOX 29
Second Line :
City : ASHLAND
State : KY
Zip : 41105-0029
Country : US
Telephone Number : 770-688-3806
Fax Number : 770-237-6089
Provider Business Practice Location Address
First Line : 1100 SAINT CHRISTOPHER DR
Second Line :
City : ASHLAND
State : KY
Zip : 41101-7055
Country : US
Telephone Number : 606-327-4000
Fax Number : 770-237-6089
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2007
Last Update Date : 10/28/2009

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Directions to “ SRIRAM K IYER MD” Practice Location

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