Provider Demographics
NPI:1477934453
Name:IYER, MEDHA (MD, PHD, MPH)
Entity Type:Individual
Prefix:DR
First Name:MEDHA
Middle Name:
Last Name:IYER
Suffix:
Gender:F
Credentials:MD, PHD, MPH
Other - Prefix:DR
Other - First Name:MEDHA
Other - Middle Name:VIJAY
Other - Last Name:VYAVAHARKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD, MPH
Mailing Address - Street 1:920 MADISON AVE
Mailing Address - Street 2:2ND FLOOR, SUITE 212
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38103-3438
Mailing Address - Country:US
Mailing Address - Phone:901-448-2400
Mailing Address - Fax:901-448-1684
Practice Address - Street 1:UNIVERSITY OF TENNESSEE 910 MADISON AVE
Practice Address - Street 2:SUITE 1031
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38163-3403
Practice Address - Country:US
Practice Address - Phone:901-448-5364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-15
Last Update Date:2015-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program