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Individual

SRIRAM K IYER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1100 SAINT CHRISTOPHER DR, ASHLAND, KY 41101-7055
(606) 327-4000
(770) 237-6089
Mailing address
PO BOX 29, ASHLAND, KY 41105-0029
(770) 688-3806
(770) 237-6089

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
31488
KY
207LP2900X
Pain Medicine (Anesthesiology) Physician
31488
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050053314
RAILROAD MEDICARE
05
64314883
KY
Enumeration date
01/08/2007
Last updated
10/28/2009
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