Individual
PRASHANTH S IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1919 S WHEELING AVE STE 105, TULSA, OK 74104-5638
(918) 749-6400
(918) 749-2168
Mailing address
1265 S UTICA AVE STE 300, TULSA, OK 74104-4243
(918) 592-0999
(918) 592-1021
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
39831
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201100560A
—
OK
Enumeration date
06/19/2017
Last updated
02/21/2025
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