Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
BASHYAM IYENGAR, MD
ActiveBASHYAM IYENGAR, MD is a Family Medicine healthcare provider located in JACKSONVILLE, Florida. NPI 1205137403 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · JACKSONVILLE, FL
Registration Details
- NPI Number
- 1205137403
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 4, 2010 (15.7697986727 yrs)
- Last Updated
- May 22, 2014
- Licenses
-
ME110643 (FL)25MA08303600 (NJ)255281-1 (NY)MD60189759 (WA)
Practice Information
- Address
-
1760 EDGEWOOD AVE W STE BSUITE BJACKSONVILLE, FL, 322087209Browse FL providers · Browse ZIP 32208
- Phone
- 9043588480
- Fax
- 9043588460
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in JACKSONVILLE, FL
| Name | Credential | NPI |
|---|---|---|
| VICTORIA HOFF-JOINVILLE | D.O. | 1225030539 |
| DR. LOUIS JOHN LARMOYEUX JR. | DO | 1831193861 |
| DR. ELIZABETH FLETCHER TRAINER | MD | 1043214695 |
| DR. JOHN EZRA TRAINER III | M.D. | 1699770990 |
| HUI TANG | M.D. | 1649275488 |
| DR. HEBER J ROSA | M.D. | 1952306607 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.