Individual
PHANIRAJ IYENGAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
345 23RD AVE N STE 212, NASHVILLE, TN 37203-1513
(615) 342-6840
(615) 329-4469
Mailing address
3006 S MARYLAND PKWY STE 765, LAS VEGAS, NV 89109-2246
(702) 731-8115
(702) 784-7844
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
A56469
CA
2084V0102X
Vascular Neurology Physician
045318
CT
2084V0102X
Vascular Neurology Physician
Primary
67975
TN
Other
Enumeration date
11/01/2006
Last updated
04/16/2025
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