Individual
ANUSHA IYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 690-3420
(425) 690-9420
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN CREDENTIALING, RENTON, WA 98057-4970
(425) 690-2715
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60152392
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
270587
—
WA
01
—
G8895341
MEDICARE W VALLEY MEDICAL GROUP - RENTON
WA
Enumeration date
07/16/2007
Last updated
05/08/2020
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