Provider Demographics
NPI:1215125778
Name:IYER, ANITA SUBRAMANIAN (MD)
Entity type:Individual
Prefix:DR
First Name:ANITA
Middle Name:SUBRAMANIAN
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:69 JOY DR
Mailing Address - Street 2:B4
Mailing Address - City:SOUTH BURLINGTON
Mailing Address - State:VT
Mailing Address - Zip Code:05403-6171
Mailing Address - Country:US
Mailing Address - Phone:802-399-2022
Mailing Address - Fax:
Practice Address - Street 1:111 COLCHESTER AVE
Practice Address - Street 2:EP2-151
Practice Address - City:BURLINGTON
Practice Address - State:VT
Practice Address - Zip Code:05401-1473
Practice Address - Country:US
Practice Address - Phone:802-847-2469
Practice Address - Fax:802-847-9644
Is Sole Proprietor?:No
Enumeration Date:2007-10-10
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0011442207ZP0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0101XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology