Provider Demographics
NPI:1801914510
Name:IYER, RAMASWAMY KRISHNA (PHD)
Entity type:Individual
Prefix:DR
First Name:RAMASWAMY
Middle Name:KRISHNA
Last Name:IYER
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3658 RANCHERO DR
Mailing Address - Street 2:# 303
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-5200
Mailing Address - Country:US
Mailing Address - Phone:734-622-0829
Mailing Address - Fax:
Practice Address - Street 1:1150 W MEDICAL CENTER DR
Practice Address - Street 2:3725A MEDICAL SCIENCES BUILDING II, BOX 0629
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-0799
Practice Address - Country:US
Practice Address - Phone:734-615-2028
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics