Provider Demographics
NPI:1811055668
Name:IYER, USHA P (MD)
Entity type:Individual
Prefix:MRS
First Name:USHA
Middle Name:P
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1211 W LA PALMA AVE
Mailing Address - Street 2:STE #503
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92801
Mailing Address - Country:US
Mailing Address - Phone:714-533-1703
Mailing Address - Fax:714-533-0761
Practice Address - Street 1:1211 W LA PALMA AVE
Practice Address - Street 2:STE #503
Practice Address - City:ANAHEIM
Practice Address - State:CA
Practice Address - Zip Code:92801
Practice Address - Country:US
Practice Address - Phone:714-533-1703
Practice Address - Fax:714-533-0761
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-05
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA32043207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
A26682Medicare UPIN