Individual
INDIRESHA RAMACHANDRA IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
224 W EXCHANGE ST STE 225, AKRON, OH 44302-1726
(330) 344-7400
Mailing address
224 W EXCHANGE ST STE 225, AKRON, OH 44302-1726
(440) 914-0018
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
35090803
OH
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
PENDING
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000292339
ANTHEM BLUE CROSS
KY
01
—
000000731990
ANTHEM
OH
05
—
2437081
—
OH
05
—
64068323
—
KY
Enumeration date
07/08/2005
Last updated
04/14/2021
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