Individual
DR. RAVI R IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
13505 DULLES TECHNOLOGY DRIVE, SUITE 1A, HERNDON, VA 20171-3403
(703) 404-5900
(703) 421-1099
Mailing address
224-D CORNWALL STREET, NW, SUITE 403, LEESBURG, VA 20176-2704
(703) 737-6010
(703) 443-8643
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101053203
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110202110
RAILROAD PIN
VA
05
—
1467425876
—
VA
05
—
30015397260001
—
VA
Enumeration date
02/08/2006
Last updated
02/20/2024
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