Individual
DR. STANLEY J. IYADURAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601 5TH ST S, ST PETERSBURG, FL 33701-4804
(727) 767-8181
Mailing address
700 ACKERMAN RD STE 570, COLUMBUS, OH 43202-1579
(614) 293-6526
(614) 293-4724
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
35123145
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102293
—
OH
01
—
P01576667
RAILROAD MEDICARE
OH
Enumeration date
09/12/2007
Last updated
01/11/2022
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