Provider Demographics
NPI:1215597521
Name:IAHIAR PA
Entity Type:Organization
Organization Name:IAHIAR PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SAURABH
Authorized Official - Middle Name:BASU
Authorized Official - Last Name:KANDPAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:915-800-1106
Mailing Address - Street 1:9555 DIANA DR
Mailing Address - Street 2:
Mailing Address - City:EL PASO
Mailing Address - State:TX
Mailing Address - Zip Code:79924-6951
Mailing Address - Country:US
Mailing Address - Phone:915-800-1106
Mailing Address - Fax:915-800-1107
Practice Address - Street 1:9555 DIANA DR
Practice Address - Street 2:
Practice Address - City:EL PASO
Practice Address - State:TX
Practice Address - Zip Code:79924-6951
Practice Address - Country:US
Practice Address - Phone:915-800-1106
Practice Address - Fax:915-800-1107
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-06-18
Last Update Date:2021-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty