Individual
AJAY BHASKAR IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-0598
Mailing address
1 HOSPITAL DR, COLUMBIA, MO 65201-5276
(573) 882-0598
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
9410459
KS
207RH0003X
Hematology & Oncology Physician
Primary
2024025374
MO
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/01/2020
Last updated
07/22/2024
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