Individual
DR. GOPAKUMAR VASYDEVA IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1275 YORK AVE, NEW YORK, NY 10065-6007
(646) 888-2649
Mailing address
633 3RD AVE, BOX 3, NEW YORK, NY 10017-6706
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
247043
NY
207R00000X
Internal Medicine Physician
4301084242
MI
208M00000X
Hospitalist Physician
247043
NY
208M00000X
Hospitalist Physician
4301084242
MI
Other
Enumeration date
03/27/2007
Last updated
07/15/2011
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