Individual
CHANDRIKA IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
21099 MASONIC BLVD, SAINT CLAIR SHORES, MI 48082-1045
(586) 296-6213
(586) 296-8180
Mailing address
21099 MASONIC BLVD, SAINT CLAIR SHORES, MI 48082-1045
(586) 296-6213
(586) 296-8180
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301070354
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4230161
—
MI
01
—
700E031610
BCBS GROUP NUMBER
MI
Enumeration date
05/09/2006
Last updated
03/26/2012
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