Provider Demographics
NPI:1497730634
Name:PEIKARI, CYRUS (MD)
Entity Type:Individual
Prefix:DR
First Name:CYRUS
Middle Name:
Last Name:PEIKARI
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 1:3241 PURDUE AVE
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75225-7634
Mailing Address - Country:US
Mailing Address - Phone:214-361-4138
Mailing Address - Fax:
Practice Address - Street 1:8305 WALNUT HILL LN
Practice Address - Street 2:SUITE 140
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75231-4217
Practice Address - Country:US
Practice Address - Phone:214-739-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXK0537207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8S0450OtherBCBS
TX8X7330OtherBCBS UPDATED PROVIDER #
TX8X7330OtherBCBS UPDATED PROVIDER #
TX8D4441Medicare ID - Type Unspecified