MEDICARE: NITHYA K. IYER M.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	207R00000X	Internal Medicine Physician	P3541	TX
2	207RP1001X	Pulmonary Disease Physician	P3541	TX
3	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	P3541	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	700H262220	OTHER	BLUE CROSS-BLUE CROSS
3	NI086741	OTHER	COMMERCIAL-COMMERCIAL NUMBER
4	NI086741	OTHER	CHAMPUS-CHAMPUS

General Provider Information

NPI Number	:	1912075458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NITHYA K. IYER M.D.

Provider Business Mailing Address
First Line	:	3409 WORTH ST STE 420
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2052
Country	:	US
Telephone Number	:	214-820-2346
Fax Number	:	214-820-9818

Provider Business Practice Location Address
First Line	:	3409 WORTH ST STE 420
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2052
Country	:	US
Telephone Number	:	214-820-2346
Fax Number	:	214-820-9818

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

Provider Enumeration Date	:	12/01/2006
Last Update Date	:	11/20/2025

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Directions to “ NITHYA K. IYER M.D.” Practice Location

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