Individual
MALA IYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 SW ARCHER RD # 100256, GAINESVILLE, FL 32610
(352) 265-4357
(352) 392-3614
Mailing address
1600 SW ARCHER RD # 100256, GAINESVILLE, FL 32610-0256
(352) 265-4357
(352) 392-3614
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
164821
NY
2084P0800X
Psychiatry Physician
Primary
ME135624
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01797933
—
NY
05
—
024807100
—
FL
Enumeration date
01/19/2007
Last updated
07/12/2018
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