Basic Information
| Provider Information | |||||||||
| NPI: | 1467913012 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | IYER | ||||||||
| FirstName: | NEENA | ||||||||
| MiddleName: | RAMESH | ||||||||
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| Credential: | MD | ||||||||
| OtherOrganizationName: | |||||||||
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| Mailing Information | |||||||||
| Address1: | 301 TURNER ST | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337565326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274666789 | ||||||||
| FaxNumber: | 6195436529 | ||||||||
| Practice Location | |||||||||
| Address1: | 301 TURNER ST | ||||||||
| Address2: | |||||||||
| City: | CLEARWATER | ||||||||
| State: | FL | ||||||||
| PostalCode: | 337565326 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7274666789 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/27/2019 | ||||||||
| LastUpdateDate: | 06/18/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/18/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | ME153858 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.