Individual
DEEPA IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6410 FANNIN ST STE 230, HOUSTON, TX 77030-3002
(323) 256-5008
(713) 512-2203
Mailing address
6410 FANNIN ST STE 170, HOUSTON, TX 77030-3003
(832) 325-6500
(713) 512-2203
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
K6389
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
044946401
—
TX
01
—
86654J
BCBS
TX
Enumeration date
07/05/2006
Last updated
05/07/2024
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