Provider Demographics
NPI:1043986441
Name:IV PROS INC
Entity Type:Organization
Organization Name:IV PROS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINE
Authorized Official - Middle Name:DANA
Authorized Official - Last Name:HAYRAP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:818-903-8244
Mailing Address - Street 1:261 W ALAMEDA AVE
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91502-2559
Mailing Address - Country:US
Mailing Address - Phone:888-844-8114
Mailing Address - Fax:888-664-0395
Practice Address - Street 1:261 W ALAMEDA AVE
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2559
Practice Address - Country:US
Practice Address - Phone:888-844-8114
Practice Address - Fax:888-664-0395
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-17
Last Update Date:2021-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty