Individual
DR. GEETA VARADRAJ IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1520 SAN PABLO ST, LL, STE 1600, LOS ANGELES, CA 90033-5310
(323) 442-7450
Mailing address
PO BOX 31399, LOS ANGELES, CA 90031-0399
(626) 457-5842
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
Primary
A103202
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000F52200
BLUE SHIELD
CA
05
—
000F52200
—
CA
01
—
P00348315
RAIL ROAD MEDICARE
CA
Enumeration date
06/17/2006
Last updated
04/02/2008
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