Provider Demographics
NPI:1134211485
Name:IYER, VARSHAPRIYA (MD)
Entity type:Individual
Prefix:
First Name:VARSHAPRIYA
Middle Name:
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:436 DANBURY RD
Mailing Address - Street 2:
Mailing Address - City:WILTON
Mailing Address - State:CT
Mailing Address - Zip Code:06897-2023
Mailing Address - Country:US
Mailing Address - Phone:203-210-7575
Mailing Address - Fax:203-210-7573
Practice Address - Street 1:436 DANBURY RD
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2023
Practice Address - Country:US
Practice Address - Phone:203-210-7575
Practice Address - Fax:203-210-7573
Is Sole Proprietor?:No
Enumeration Date:2006-09-28
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT036097207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT11000866Medicare UPIN