Provider Demographics
NPI:1265632913
Name:IYER, HRIDAYA PREMNATH (MD)
Entity Type:Individual
Prefix:
First Name:HRIDAYA
Middle Name:PREMNATH
Last Name:IYER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3601 S 6TH AVE
Mailing Address - Street 2:SAVAHCS DEPT. OF ANESTHESIOLOGY
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85658
Mailing Address - Country:US
Mailing Address - Phone:201-207-9508
Mailing Address - Fax:
Practice Address - Street 1:3601 S 6TH AVE
Practice Address - Street 2:SAVAHCS DEPT. OF ANESTHESIOLOGY
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85658
Practice Address - Country:US
Practice Address - Phone:317-274-0275
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-20
Last Update Date:2023-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01066673A207L00000X
VA0101278043207L00000X
AZ49659207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology