Individual
DR. JAIDEEP JAIPRAKASH IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2585 SAMARITAN DR, SAN JOSE, CA 95124-4107
(408) 871-3400
(408) 871-5224
Mailing address
2585 SAMARITAN DR, SAN JOSE, CA 95124-4107
(408) 871-3400
(408) 871-5224
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
A103986
CA
207X00000X
Orthopaedic Surgery Physician
MD60097526
WA
Other
Enumeration date
07/03/2008
Last updated
11/30/2020
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