Individual
DR. SIVA SUBRAMANIAM IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 SW ARCHER RD, #100371, GAINESVILLE, FL 32610-3001
(352) 265-0301
(352) 265-0627
Mailing address
PO BOX 100284, GAINESVILLE, FL 32610-0284
(352) 273-8778
(352) 273-7402
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
22805
MS
207W00000X
Ophthalmology Physician
MD205040
LA
207W00000X
Ophthalmology Physician
Primary
ME127344
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017081100
—
FL
05
—
04989542
—
MS
01
—
P01454869
RAILROAD MEDICARE PTAN
MS
Enumeration date
04/01/2008
Last updated
06/01/2020
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