Individual
RAJEEV SUBRAMANYAM IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(215) 590-1858
(215) 590-1415
Mailing address
3401 CIVIC CENTER BLVD STE 9329, PHILADELPHIA, PA 19104-4319
(267) 425-9300
(267) 425-9331
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
1032770770002
PA
207LP3000X
Pediatric Anesthesiology Physician
35.098867
OH
207LP3000X
Pediatric Anesthesiology Physician
Primary
MD462654
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032770770002
—
PA
Enumeration date
03/14/2012
Last updated
09/30/2022
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