Individual
DR. MALLIKA IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
100 MEDICAL CENTER BLVD, #120, CONROE, TX 77304-2888
(936) 441-9944
(936) 441-9910
Mailing address
PO BOX 8877, THE WOODLANDS, TX 77387-8877
(936) 441-9944
(936) 441-9910
Taxonomy
Speciality
Code
Description
License number
State
207KA0200X
Allergy Physician
Primary
K0838
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043533102
—
TX
01
—
8A4680
BCBS
TX
01
—
P00148033
RAILROAD MEDICARE
TX
Enumeration date
08/03/2006
Last updated
02/22/2021
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