Individual
DR. VASUDEVA G. IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2505 BUSH RIDGE DR, SUITE A, LOUISVILLE, KY 40245-5885
(502) 708-1338
(502) 708-1339
Mailing address
2505 BUSH RIDGE DR, SUITE A, LOUISVILLE, KY 40245-5885
(502) 708-1338
(502) 708-1339
Taxonomy
Speciality
Code
Description
License number
State
2084N0600X
Clinical Neurophysiology Physician
Primary
22671
KY
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
22671
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64226715
—
KY
Enumeration date
07/12/2005
Last updated
04/03/2014
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