Individual
RAJIV JAISIMHA IYENGAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4210 10TH ST SE, PUYALLUP, WA 98374-2191
(253) 840-5397
Mailing address
PO BOX 731689, PUYALLUP, WA 98373-0017
(253) 840-5397
Taxonomy
Speciality
Code
Description
License number
State
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD61497644
WA
Other
Enumeration date
05/22/2017
Last updated
10/15/2024
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