Provider Demographics
NPI:1780696070
Name:AIYER, BALASUBRAMANIAN N (MD)
Entity type:Individual
Prefix:DR
First Name:BALASUBRAMANIAN
Middle Name:N
Last Name:AIYER
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 1:2014 VISTA LAKE CT
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4422
Mailing Address - Country:US
Mailing Address - Phone:281-302-6112
Mailing Address - Fax:
Practice Address - Street 1:2014 VISTA LAKE CT
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4422
Practice Address - Country:US
Practice Address - Phone:281-302-6112
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-13
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXE9103207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease