Provider Demographics
NPI:1588753438
Name:IYER, KRITHIKA SREEDHAR (MD)
Entity type:Individual
Prefix:DR
First Name:KRITHIKA
Middle Name:SREEDHAR
Last Name:IYER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:RRITHIKA
Other - Middle Name:
Other - Last Name:RAMANI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:7421 N UNIVERSITY DR STE 310
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-6109
Mailing Address - Country:US
Mailing Address - Phone:954-724-6680
Mailing Address - Fax:954-726-6525
Practice Address - Street 1:7421 N UNIVERSITY DR STE 310
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-6109
Practice Address - Country:US
Practice Address - Phone:954-724-6680
Practice Address - Fax:954-726-6525
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL971032084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000837800Medicaid
FLAG661XMedicare PIN