Individual
DR. SANDHYA IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1201 SUMMIT AVE, FORT WORTH, TX 76102
(817) 332-2020
(817) 332-4797
Mailing address
1201 SUMMIT AVE, FORT WORTH, TX 76102-4413
(178) 332-2020
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
N0124
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A998750
BLUE SHIELD
CA
Enumeration date
11/20/2006
Last updated
08/21/2018
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