Provider Demographics
NPI:1174583751
Name:IYER, NIRANJAN G (MD)
Entity type:Individual
Prefix:DR
First Name:NIRANJAN
Middle Name:G
Last Name:IYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:501 ORCHARD ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:WEBSTER
Mailing Address - State:TX
Mailing Address - Zip Code:77598-4145
Mailing Address - Country:US
Mailing Address - Phone:281-557-8555
Mailing Address - Fax:281-332-7390
Practice Address - Street 1:501 ORCHARD ST
Practice Address - Street 2:SUITE 200
Practice Address - City:WEBSTER
Practice Address - State:TX
Practice Address - Zip Code:77598-4145
Practice Address - Country:US
Practice Address - Phone:281-557-8555
Practice Address - Fax:281-332-7390
Is Sole Proprietor?:No
Enumeration Date:2006-03-27
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK3758207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1027895OtherAETNA HMO
TX290010661OtherRAILROAD MEDICARE
TX039763001Medicaid
TX4262183001OtherCIGNA IP
TX4262183004OtherCIGNA SELECT
TX23873OtherAMERIGROUP
TX81W393OtherBLUE CROSS BLUE SHEILD
TX4262183003OtherCIGNA HMO
TX5343611OtherAETNA EPO PPO
TXG53333Medicare UPIN
TX23873OtherAMERIGROUP