Individual
MRS. SOWMYA IYER KISHOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4475 MEDICAL CENTER WAY, SUITE 2, WEST PALM BEACH, FL 33407-3240
(561) 863-1000
Mailing address
143 VIERA DR, PALM BEACH GARDENS, FL 33418-1741
(757) 218-1597
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
ME 102622
FL
207N00000X
Dermatology Physician
ME102622
FL
Other
Enumeration date
02/24/2009
Last updated
03/29/2021
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